A patient is suffering from a seizure disorder. The patient is being treated with phenytoin (Dilantin). What effect will phenytoin and an oral contraceptive produce?

A) Increased seizure activity
B) Increased blood pressure
C) Alteration in clotting factors
D) Increased gastric acid


A

Nursing

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A patient is being treated on the medical unit for a sickle cell crisis. The nurse's most recent assessment reveals an oral temperature of 100.5ºF and a new onset of fine crackles on lung auscultation. What is the nurse's most appropriate action?

A) Apply supplementary oxygen by nasal cannula. B) Administer bronchodilators by nebulizer. C) Liaise with the respiratory therapist and consider high-flow oxygen. D) Inform the primary care provider that the patient may have an infection.

Nursing

What are common reasons that a female victim of abuse might not report an incident of sexual assault? Select all that apply

a. Fear that her boyfriend would be angry if she reported it and would hurt her again b. Belief that she was to blame for starting a fight with her boyfriend c. Idea that the legal system couldn't prosecute him for the crime against her d. Desire to have the incident behind her, as if it never happened in the first place

Nursing

A patient with an adrenal gland alteration does not understand why his skin is tanning when he does not spend any time outdoors in the sun. What should the nurse do to address the patient's concern?

1. ask if the patient is still taking steroids prescribed for another illness 2. ask the patient what time of day he is outdoors 3. auscultate the patient's lung sounds 4. palpate the patient's thyroid gland

Nursing

A 34-year-old female patient with a new ileostomy asks how much drainage to expect. The nurse explains that after the bowel adjusts to the ileostomy, the usual drainage will be about _____ cups

a. 2 b. 3 c. 4 d. 5

Nursing