This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A child is on phenytoin (Dilantin). What should the nurse encourage? a. Fluid restriction b. ... (Read 85 times)

Bob-Dole

  • Hero Member
  • *****
  • Posts: 547
on: Jun 28, 2018
A child is on phenytoin (Dilantin). What should the nurse encourage?
 
  a. Fluid restriction
  b. Good dental hygiene
  c. A decrease in vitamin D intake
  d. Taking the medication with milk

Question 2

A child develops syndrome of inappropriate antidiuretic hormone secretion (SIADH) as a complication to meningitis. What action should be verified before implementing?
 
  a. Forcing fluids
  b. Daily weights with strict input and output (I and O)
  c. Strict monitoring of urine volume and specific gravity
  d. Close observation for signs of increasing cerebral edema


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ansleighelindsey

  • Sr. Member
  • ****
  • Posts: 364
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
Chronic treatment with phenytoin may cause gum hypertrophy. Children taking phenobarbital or phenytoin should receive adequate vitamin D and folic acid because deficiencies of both have been associated with these drugs. The medication should not be taken with milk, and fluids should be encouraged, not restricted.

Answer to Question 2

ANS: A
The treatment of SIADH consists of fluid restriction until serum electrolytes and osmolality return to normal levels. SIADH often occurs in children who have meningitis. Monitoring weights, keeping I and O and specific gravity of urine, and observing for signs of increasing cerebral edema are all part of the nursing care for a child with SIADH.


Bob-Dole

  • Member
  • Posts: 547
Reply 2 on: Jun 28, 2018
Wow, this really help

dreamfighter72

  • Member
  • Posts: 355
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

In 1886, William Bates reported on the discovery of a substance produced by the adrenal gland that turned out to be epinephrine (adrenaline). In 1904, this drug was first artificially synthesized by Friedrich Stolz.

Audiometry exam being administered to a young child who is wearing the ear phones through which soun Audiometry exam being administered to a young child who is wearing the ear phones through which soun
Otitis media. This illustration shows an inflamed tympanic cavity, which is the most common source o Otitis media. This illustration shows an inflamed tympanic cavity, which is the most common source o
Child Labor Rates and GDP Worldwide Child Labor Rates and GDP Worldwide
Serving unfamiliar foods repeatedly and asking the child to try a bite can lead to gradual ... Serving unfamiliar foods repeatedly and asking the child to try a bite can lead to gradual ...
Fluid Replacement Drugs Fluid Replacement Drugs
Child's right hand and wrist displaying the characteristic spotted rash of Rocky Mountain ... Child's right hand and wrist displaying the characteristic spotted rash of Rocky Mountain ...
Video: Types of Shock (Part 2 of 2)

For a complete list of videos, visit our video library