Folic acid supplements are often given when phenytoin therapy is ...

[Chloeellawright]

Folic acid supplements are often given when phenytoin therapy is started. The reason for this is to:
 
  a. prevent the development of anemia.
  b. prevent drug toxicity.
  c. improve the client's overall health.
  d. decrease the frequency of convulsions.

Question 2

When obtaining a client history, the nurse learns that the client exercises regularly, is an avid sports fan, is currently is under a great deal of both personal and professional stress causing the client to snack frequently.
 
  Which of these factors would pose the greatest risk for decreasing the client's seizure threshold?
  a. stress c. increased oral intake
  b. physical exercise d. insomnia

[Carissamariew]

Answer to Question 1

ANS: A

Feedback
A Correct: Phenytoin can cause folic acid deficiency anemia.
B Incorrect: Folate deficiency does not cause drug toxicity.
C Incorrect: This is not the rationale related to phenytoin.
D Incorrect: Folate replacement does not augment phenytoin.

Answer to Question 2

ANS: A

Feedback
A Correct: Stress (psychosociophysiolo gic) can lower the seizure threshold.
B Incorrect: Routine physical exercise raises the seizure threshold.
C Incorrect: Increased oral intake is not usually considered a factor in decreasing the seizure threshold.
D Incorrect: Insomnia is not considered a factor in decreasing the seizure threshold.