Author Question: The nurse is speaking with a female client taking phenytoin (Dilantin) for seizure control. The ... (Read 51 times)

burchfield96 · **on:** Jul 22, 2018

The nurse is speaking with a female client taking phenytoin (Dilantin) for seizure control. The client states that she has started using birth control pills to prevent pregnancy.

Which of the following would be an important point for the nurse to stress to the client? 1. Oral contraceptives decrease the effectiveness of phenytoin.
2. Severe gastrointestinal side effects can occur when phenytoin and oral contraceptives are taken together.
3. There is an increased risk of thrombophlebitis when phenytoin and oral contraceptives are taken at the same time.
4. Phenytoin may decrease effectiveness of birth control pills, and additional measures should be taken to avoid pregnancy.

Question 2

The nurse is teaching cardiopulmonary resuscitation (CPR) to a group of lay persons. Which of the following behaviors by one of the participants would indicate the need for further review?

1. Letting the fingers rest on the chest
2. Keeping the shoulders directly over the hands
3. Straightening the arms and locking the elbows
4. Placing the heel of the hand over the lower half of the sternum

canderson530 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: Phenytoin enhances the rate of estrogen metabolism, which can decrease the effectiveness of some birth control pills. The nurse should tell the client to alert the health care provider about the use of birth control pills so that counseling may be provided about alternative birth control methods. The other options are incorrect.

Answer to Question 2

1

Rationale: To maximize the effectiveness of chest compressions, the rescuer avoids letting the fingers rest on the chest. This also helps prevent accidental injury to internal organs. The actions listed in the other options are all part of correct CPR procedures.