A 19-year-old patient who is beginning drug therapy with phenytoin (Dilantin) is taught to visit the dentist regularly. Which of the following adverse effects associated with phenytoin use ex-plains the health care provider's recommendation?

a. Increased risk of dental caries
b. Destruction of nerve roots of teeth
c. Gingival hyperplasia
d. Discoloration of tooth enamel


ANS: C
Patients are at increased risk for gingival hyperplasia when taking phenytoin if they are under the age of 23 or are taking more than 500 mg per day of this drug.

Nursing

You might also like to view...

A nursing supervisor is setting up a new unit and must make a blanket decision about whether the unit will be staffed on 12-hour shifts or 8-hour shifts. What should this supervisor keep in mind when making this decision?

1. Staffing 8-hour shifts uses slightly more full-time equivalents (FTEs). 2. Staffing 12-hour shifts uses more full-time equivalents (FTEs). 3. Staffing 12-hour shifts uses significantly fewer full-time equivalents (FTEs). 4. There is no difference in the full-time equivalents (FTEs) required.

Nursing

An OB/GYN nurse is teaching a class on medications that affect uterine function

The nurse asks the class, "For what purpose or purposes are tocolytic agents used?" Which response by a mem-ber of the class would indicate a need for further teaching? "Tocolytics are used to a. augment labor." b. control postpartum bleeding." c. induce abortion." d. suppress preterm labor."

Nursing

A research study contains the question,

"Can the application of twice-daily cortisone in the period from 6 to 10 weeks postoperatively produce significantly increased range of motion in 50- to 60-year-old rotator-cuff repair patients at the six-month mark?" The study is _____ research. a. Ethnographic b. Historical c. Experimental d. Basic

Nursing

A client with myasthenia gravis and his family are receiving instructions from the nurse. The nurse teaches the client that insufficient dosing of cholinesterase inhibitor may result in myasthenia crisis

The client is taught about which signs and symptoms of myasthenia crisis? a. Decreased muscle strength in the lower extremities b. Increased salivation and sweating c. Muscle weakness and increased salivation d. Muscle weakness; difficulty in breathing and swallowing

Nursing