Author Question: Which information about a 72-year-old patient who has a new prescription for phenytoin (Dilantin) ... (Read 53 times)

Wadzanai · **on:** Jun 25, 2018

Which information about a 72-year-old patient who has a new prescription for phenytoin (Dilantin) indicates that the nurse should consult with the health care provider before administration of the medication?

a. Patient has generalized tonic-clonic seizures.
b. Patient experiences an aura before seizures.
c. Patient's most recent blood pressure is 156/92 mm Hg.
d. Patient has minor elevations in the liver function tests.

Question 2

Which intervention will the nurse include in the plan of care for a patient with primary restless legs syndrome (RLS) who is having difficulty sleeping?

a. Teach about the use of antihistamines to improve sleep.
b. Suggest that the patient exercise regularly during the day.
c. Make a referral to a massage therapist for deep massage of the legs.
d. Assure the patient that the problem is transient and likely to resolve.

laurnthompson · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Many older patients (especially with compromised liver function) may not be able to metabolize phenytoin. The health care provider may need to choose another antiseizure medication. Phenytoin is an appropriate medication for patients with tonic-clonic seizures, with or without an aura. Hypertension is not a contraindication for phenytoin therapy.

Answer to Question 2

ANS: B
Nondrug interventions such as getting regular exercise are initially suggested to improve sleep quality in patients with RLS. Antihistamines may aggravate RLS. Massage does not alleviate RLS symptoms and RLS is likely to progress in most patients.