A client with a known seizure disorder enters the emergency ...

[Charlie]

A client with a known seizure disorder enters the emergency department. The nurse notes that his gums are swollen and bleeding. What is a priority nursing intervention?
 
  a. Draw a bleeding time.
  b. Assess the client's dental hygiene.
  c. Assess for mucositis.
  d. Draw a phenytoin level.

Question 2

A client with a known seizure disorder is treated with several anticonvulsant medications. The client confides in the nurse, stating that he also has a strong belief in complementary medicine and takes several herbal supplements.
 
  Which is an appropriate response by the nurse?
  a. Check with your healthcare provider to ensure that there are no harmful drug interactions.
  b. Most herbal supplements are safe medications with anticonvulsants.
  c. No herbal supplements should be taken with prescription medications.
  d. You need to check the herbal labels to make sure that this is okay.

[harveenkau8139]

Answer to Question 1

ANS: D
Swollen and bleeding gums may indicate gingival hyperplasia, a symptom of phenytoin toxicity.

Answer to Question 2

ANS: A
This is the correct recommendation because several herbs interact with anticonvulsant medications.

[Charlie]

Excellent

[sailorcrescent]

Thanks for the timely response, appreciate it