The nurse is providing instructions to an adolescent who is taking phenytoin (Dilantin) for the control of seizures. Which of the following statements, if made by the adolescent, indicates a need for further teaching regarding the medication?
1. "The medication may cause oily skin."
2. "Drinking alcohol may affect the medication."
3. "If my gums become sore I need to stop the medication."
4. "Birth control pills may not be effective when I take this medication."
3
Rationale: The adolescent should not stop taking antiseizure medications suddenly or without discussing it with a physician or nurse. Acne or oily skin may be a problem for the adolescent, and the adolescent is advised to call a physician for skin problems. Alcohol will lower the seizure threshold, and it is best to avoid the use of alcohol. Birth control pills may be less effective when the client is taking antiseizure medication.
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The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?
a. Woman in her second month of pregnancy b. Person who has been on bed rest for 4 days c. Person with a 30-year, 1 pack per day smoking habit d. Older adult taking anticoagulant medication
During a physical assessment, the nurse notes that a patient's heart rate is 56 beats per minute. The nurse should document that the patient is experiencing:
a. dyspnea. b. cyanosis. c. diaphoresis. d. bradycardia.
Which client does the nurse consider to be at increased risk for infection?
a. Young adult who wears contact lenses b. Adult with type 1 diabetes mellitus c. Adult with known hypersensitivity to la-tex d. Adolescent using analgesics for migraine headaches
The nurse can primarily affect the effectiveness of a family's ability to cope with stress by en-couraging:
1. Flexible roles 2. Distinct task assignment 3. Individual independence 4. Variable parenting models