The nurse is providing medication teaching to a patient with epilepsy who is taking phenytoin (Dilantin). Which statement best indicates that the nurse's teaching has been successful?
a. "I should decrease my alcohol intake to a single drink per day."
b. "I should visit the dentist every 3 to 6 months while taking this medication."
c. "I should take my antacid an hour after my Dilantin."
d. "This medication may turn my urine orange."
B
Dilantin can cause gingival hyperplasia. The patient should brush teeth and floss regularly, and schedule dentist visits every 3 to 6 months. Alcohol interferes with the metabolism of anticon-vulsants, increases lethargy, and may trigger seizures. The patient should not consume alcohol at all while taking Dilantin. The patient should not take antacids within 2 hours of taking Dilantin. Dilantin may turn the urine pink.
You might also like to view...
A teenage boy was hospitalized 3 weeks ago. He has been confined to bed throughout his hospital stay because of a crushed pelvis. His parents tell the nurse, "Our son is just staring off into space; he won't talk to us
We are worried because he has not even listened to his iPod, watched television, or played his video games for 2 days. That is so unlike him." What is the best response the nurse can make? a. "I will inform his doctor and see whether we can get your son started on an antidepressant medication." b. "He is at a critical time in his life; teens are often moody, and being in the hospital with an injury will only make that worse." c. "Your son had a major injury, and his immobility might be causing him to feel isolated and depressed." d. "He is bored because he has been in the hospital for 3 weeks; I'll try to find something new for him to do."
A patient's medication has been changed to clozapine (Clozaril). The nurse evaluates this patient for which life-threatening adverse effect?
A) Renal insufficiency B) Emphysema C) Neuroleptic malignant syndrome D) Cerebrovascular accident (CVA)
The nurse is planning to obtain serum for a peak aminoglycoside level. When should the blood be drawn?
a. 30 minutes after completing the infusion b. 2 hours after completing the infusion c. 4 hours after completing the infusion d. 12 hours after completing the infusion
The nurse suspects that an older patient has been physically abused. What must be included in the medical workup for this patient?
1. Pelvic examination 2. Toxicological screening 3. Complete blood count and blood chemistries 4. Complete visual examination with clothing removed