Richard, 15 years old, has been diagnosed with epilepsy. He is to be sent home on oral phenytoin 100 mg b.i.d. What statement by Richard's mother leads the nurse to believe she has understood drug teaching?
A) "I will make sure he takes the medication on an empty stomach."
B) "I will stop the drug immediately if any side effects occur."
C) "I will make sure he has routine visits to the dentist."
D) "I will weigh him daily and feed him a high-calorie diet."
C
Feedback:
Gingival hyperplasia is common in patients, especially children, who take phenytoin, which makes regular dentist visits important to oral health. Taking the medication on a full stomach or with meals reduces gastrointestinal (GI) adverse effects. The mother should call the health care provider if adverse effects are noted and needs to understand the risks associated with abrupt withdrawal of the medication. Daily weight taking and high-calorie diets are not associated with phenytoin administration.
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