Difficulty: Medium
Average Score: 85%
Simulated
A client with a history of seizures is prescribed phenytoin. Which instruction should the nurse include?
Correct answer
A
Rationale
The correct answer is A: Monitor for gum hyperplasia. Phenytoin can cause gingival hyperplasia as a side effect. The nurse should instruct the client to maintain good oral hygiene and report any signs of gum swelling or overgrowth promptly. This is important for early intervention to prevent complications. Choice B is incorrect because calcium supplements are not contraindicated with phenytoin. Choice C is incorrect as phenytoin should be taken on an empty stomach for better absorption. Choice D is incorrect as increasing alcohol intake can reduce the effectiveness of phenytoin and increase the risk of side effects.