A patient with a seizure history who has been on long-term phenytoin (Dilantin) therapy is admitted to the hospital. The nurse would be correct in assessing for which of the following adverse effects of this therapy?
A) Bradycardia
B) Diarrhea
C) Gingival hyperplasia
D) Weight gain
Ans: C
Feedback: Gingival hyperplasia (swollen and tender gums) can be associated with long-term phenytoin (Dilantin) use. Bradycardia, diarrhea, and weight gain are not associated with Dilantin therapy. Adverse effects noted with Dilantin therapy include tachycardia, constipation, and weight loss.
You might also like to view...
The nurse is caring for a patient with moderate Alzheimer disease (AD). The health care provider has ordered donepezil (Aricept) for the collaborative treatment of the patient's disease
What medication teaching will the nurse include to both the patient and patient's family? 1. "The medication should be taken twice daily, once in the morning and once at night." 2. "The dose will be started low and will be gradually increased until the medication is no longer helpful." 3. "The medication should be taken three times daily with every meal." 4. "The dose will be started high and will be gradually decreased to make sure that side effects from the medication are tolerable."
The major risk of peritoneal dialysis is _____
Fill in the blank(s) with correct word
In the compensatory stage of shock, the nurse would need to implement actions to care for the patient who is:
1. irritable and restless. 2. listless and confused. 3. unconscious. 4. anxious and fearful.
A multipara is having intense uterine contractions with little uterine relaxation between contractions. Vaginal examination reveals rapid cervical dilation and fetal descent. The nurse should:
1. Notify the physician of these findings. 2. Place the woman in knee–chest position. 3. Turn off the lights to make it easier for the woman to relax. 4. Assemble supplies to prepare for a cesarean birth.