A child is newly diagnosed with epilepsy and has been placed on ...

[sammy]

A child is newly diagnosed with epilepsy and has been placed on daily phenytoin (Dilantin) by the physician. When planning education for the family, the nurse would include which of the following?
 
  1. Fluid intake
   2. Good dental hygiene
   3. A decrease in vitamin D intake
   4. Taking the medication with milk

Question 2

A client diagnosed with post-traumatic stress disorder is experiencing insomnia. Which of the following interventions would be beneficial for this client?
 
  1. Suggest daytime naps
   2. Encourage the use of sedatives
   3. Discuss the importance of exercise before sleep
   4. Instruct in relaxation techniques or guided imagery

[kjohnson]

Answer to Question 1

2. Good dental hygiene

Rationale:
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

4. Instruct in relaxation techniques or guided imagery

Rationale:
Insomnia is a common experience in clients with post-traumatic stress disorder. Relaxation techniques and guided imagery are just two therapies found to be beneficial in clients with this disorder. Daytime naps are to be avoided. Sedatives do not produce long-term relief from insomnia and should not be encouraged. Exercise before sleep would serve as a stimulant and should not be encouraged.

[sammy]

Excellent

[tkempin]

TYSM