The nurse is speaking with a female client taking phenytoin (Dilantin) for seizure control. The client states that she has started using birth control pills to prevent pregnancy
Which of the following would be an important point for the nurse to stress to the client? 1. Oral contraceptives decrease the effectiveness of phenytoin.
2. Severe gastrointestinal side effects can occur when phenytoin and oral contraceptives are taken together.
3. There is an increased risk of thrombophlebitis when phenytoin and oral contraceptives are taken at the same time.
4. Phenytoin may decrease effectiveness of birth control pills, and additional measures should be taken to avoid pregnancy.
4
Rationale: Phenytoin enhances the rate of estrogen metabolism, which can decrease the effectiveness of some birth control pills. The nurse should tell the client to alert the health care provider about the use of birth control pills so that counseling may be provided about alternative birth control methods. The other options are incorrect.
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