The nurse is planning discharge teaching for a child with epilepsy who is prescribed phenytoin (Dilantin). Which information is important for the nurse to include in these instructions?

A) Brush teeth less frequently.
B) Take the medication with milk.
C) Increase fluid intake.
D) Increase vitamin D intake.


Answer: D

Because phenytoin (Dilantin) can cause gingival hyperplasia, good dental hygiene should be encouraged. Fluid intake does not affect the drug's effectiveness, an adequate intake of vitamin D should be encouraged, and phenytoin (Dilantin) should not be taken with dairy products.

Nursing

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The nurse assessing a patient's skin for signs of impaired skin integrity knowing that a major manifestation is a(n):

a. burn. b. laceration. c. pressure ulcer. d. infection.

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The nurse is teaching a group of family members who have relatives living with them who are experiencing neurotransmitter difficulties. What information should the nurse include about the role of transmitters?

1. Neurotransmitters carry or block messages between nerves. 2. Neurotransmitters are fluids that protect the brain. 3. Neurotransmitters enter the bloodstream. 4. Neurotransmitters act once and are then absorbed and excreted.

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The nurse explains that the health-illness continuum is based on:

1. prevention of acute illness. 2. individual response to health or illness. 3. promotion of health and wellness. 4. variation in degree of health or illness.

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