A patient who has been prescribed phenytoin (Dilantin) reports gum swelling around the teeth. What is your best action?
a. Tell the patient to document this unexpected change by taking a photograph.
b. Instruct the patient to stop the drug and notify the prescriber immediately.
c. Teach the patient to visit the dentist regularly and brush and flow carefully.
d. Remind the patient to clean teeth gently with dental swabs and avoid flossing.
ANS: C
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A nurse may be asked to administer androgen drugs to clients with which of the following medical conditions? Select all that apply
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The nurse questions whether treatment with antibiotic therapy is as effective as observation in a 3-year-old boy with otitis media. Which of the following identifies each step in the PICO process?
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In the process of advocating for EBP in the unit guidelines around the management of increased intracranial pressure, a nurse has met with skepticism from other members of the nursing staff, with several stating, "Evidence-based practice is good in
theory, but it's almost impossible to actually search hundreds of journals and find the evidence." What could the nurse recommend? A) Self-reflection on the nurses' current practices B) Accessing the Cochrane Library C) Contacting the clinical nurse educator on the unit D) Beginning with lay publications before progressing to peer-reviewed journals