« previous next »

Author Question: The nurse is planning discharge teaching for a child with epilepsy who is prescribed phenytoin ... (Read 162 times)

craiczarry

  • Hero Member
  • *****
  • Posts: 527
on: Jun 25, 2018
The nurse is planning discharge teaching for a child with epilepsy who is prescribed phenytoin (Dilantin). Which information is important for the nurse to include in these instructions?
 
  A) Brush teeth less frequently.
  B) Take the medication with milk.
  C) Increase fluid intake.
  D) Increase vitamin D intake.

Question 2

The nurse is caring for a client newly admitted to the hospital with uncomplicated cholelithiasis. Based on this data, which laboratory value does the nurse anticipate to be elevated?
 
  A) Mean corpuscular hemoglobin concentration (MCHC)
  B) Indirect bilirubin
  C) Serum amylase
  D) Alkaline phosphatase


jaygar71

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: D

Because phenytoin (Dilantin) can cause gingival hyperplasia, good dental hygiene should be encouraged. Fluid intake does not affect the drug's effectiveness, an adequate intake of vitamin D should be encouraged, and phenytoin (Dilantin) should not be taken with dairy products.

Answer to Question 2

Answer: D

Obstructive biliary disease causes a significant elevation in alkaline phosphatase. Obstruction in the biliary tract causes an elevation in direct bilirubin, not indirect bilirubin. The client's serum amylase and MCHC are unrelated.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

The term bacteria was devised in the 19th century by German biologist Ferdinand Cohn. He based it on the Greek word "bakterion" meaning a small rod or staff. Cohn is considered to be the father of modern bacteriology.

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Enamel defects due to malnutrition in a child from the Illinois valley (A.D. 600-1200). Enamel defects due to malnutrition in a child from the Illinois valley (A.D. 600-1200).
The cranium of a young infant changes dramatically in shape with age. Initially the child has severa The cranium of a young infant changes dramatically in shape with age. Initially the child has severa
One of the reasons I went to Cambodia was to interview a feral child—the boy shown here—who ... One of the reasons I went to Cambodia was to interview a feral child—the boy shown here—who ...
Compressions for a child. Compressions for a child.
Six-Step Process for Goal-Oriented Planning Six-Step Process for Goal-Oriented Planning
Using child-sized dishes at mealtimes can help caregivers monitor portion sizes Using child-sized dishes at mealtimes can help caregivers monitor portion sizes
Video: Integumentary Anatomy

For a complete list of videos, visit our video library