A client has been receiving phenytoin (Dilantin) for 15 years. The nurse implements which diagnostic test to assess for a common adverse reaction to long-term medication use?

a. Fasting blood glucose level
b. Chest x-ray
c. Voiding cystourethrogram
d. BUN and creatinine


ANS: A
Hyperglycemia is a known adverse reaction to long-term Dilantin use that may be assessed via a fasting blood glucose measurement.

Nursing

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The nurse has instructed an older patient on the modified My Plate and caloric intake. Which patent response indicates that instruction has been effective?

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