The client is prescribed phenytoin (Dilantin) for treatment of a seizure disorder. What precautions or instructions should be taught to this client?

A. "Do not take aspirin or aspirin-containing products while on this medication."
B. "Avoid contact sports and heavy physical exercise while on this medication."
C. "Avoid direct exposure to sunlight while on this medication."
D. "Do not take warfarin (Coumadin) while on this medication."


D
Warfarin inhibits the metabolism of phenytoin, increasing the half-life of phenytoin and the risk of toxic levels.

Nursing

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A patient has recently been weaned off mechanical ventilation after 3 weeks of treatment. The patient is now refusing to have the ventilator removed from the room. What type of alteration is the patient experiencing?

a. Disturbed self-esteem c. Hopelessness b. Regression d. Disturbed body image

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A nurse interviews a patient who is having difficulty with self-expression and staying focused. Select the nurse's most helpful comment

a. "Go on." b. "What would you like to discuss?" c. "Tell me what is happening right now." d. "It seems you are having trouble staying focused."

Nursing

The nurse is providing care to a client who is experiencing urinary retention. Which diagnostic tool does the nurse anticipate will be ordered for this client?

A) Ultrasonic bladder scan B) Urinalysis C) Intravenous pyelography (IVP) D) Cystoscopy

Nursing

A 78-year-old client experiences a tonic-clonic (grand mal) seizure. The nurse notes the time at the onset of the seizure. The seizure continues, exceeding 10 minutes. The nurse notifies the physician

Which of the following interventions can the nurse likely anticipate being ordered? 1. Administer 0.9% sodium chloride IV. 2. Administer an intravenous bolus of 10% dextrose. 3. Administer an intramuscular injection of diazepam. 4. Administer 5% dextrose solution IV.

Nursing