The nurse is planning discharge teaching for a child with ...

[craiczarry]

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]

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.