Author Question: The physician has prescribed phenytoin (Dilantin) for a client with diabetes mellitus, type 1. ... (Read 93 times)

Metfan725 · **on:** Jul 22, 2018

The physician has prescribed phenytoin (Dilantin) for a client with diabetes mellitus, type

1. What does the nurse include in the plan of care for this client?

1. Plan to institute safety precautions, as the client is at risk for dizziness and ataxia.
2. Plan to discuss with the physician the need to increase the client's insulin based on serum glucose levels.
3. Plan to assess the client for petechiae, epistaxis, and hematuria.
4. Plan to discuss with the physician the need to decrease the client's insulin based on serum glucose levels.

Question 2

A nurse is providing discharge education for a client diagnosed with iron deficiency anemia. Which statement by the client would indicate a need for further education?

1. I will take my ferrous sulfate tablet on an empty stomach..
2. I will take my ferrous sulfate tablet with my breakfast..
3. I will eat oatmeal for breakfast while I am taking my ferrous sulfate..
4. I will increase my fluid intake while I am taking my ferrous sulfate..

flannelavenger · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Plan to discuss with the physician the need to increase the client's insulin based on serum glucose levels.

Rationale:
Phenytoin (Dilantin) can increase serum glucose levels, and the client may need additional insulin. All clients receiving phenytoin (Dilantin) are at risk for dizziness and ataxia; this is not specific to the client with diabetes mellitus, type 1. All clients receiving phenytoin (Dilantin) are at risk for petechiae, epistaxis, and hematuria; this is not specific to the client with diabetes mellitus, type 1. Phenytoin (Dilantin) can increase serum glucose levels, not decrease them.

Answer to Question 2

1. I will take my ferrous sulfate tablet on an empty stomach..

Rationale:
Ferrous sulfate can cause gastric irritation and constipation. Taking it with a meal can help minimize gastrointestinal distress. Increasing fiber and fluid intake can also help prevent constipation.