Difficulty: Medium
Average Score: 65%
Simulated
Passage / Scenario
A child with tonic-clonic seizure disorder, on Phenytoin, with mild exercise-induced asthma.A nurse in the provider's office is caring for a child who has a history of tonic-clonic seizure disorder. Three months ago, the neurologist changed the child's antiepileptic medications to include Phenytoin due to increasing number of seizures per guardian. The child has a 1-year history of mild exercise-induced asthma for which they were prescribed a rescue inhaler of albuterol prn. The client is at risk for developing __ due to __.
Correct answer
A,E
Rationale
The correct answer is A: Gingival hyperplasia and E: Phenytoin. Phenytoin is known to cause gingival hyperplasia as a side effect. The child is at risk for developing this condition due to being on Phenytoin medication. Gingival hyperplasia is an overgrowth of gum tissue that can lead to oral health issues. Other choices are incorrect because hypoglycemia is not typically associated with Phenytoin use, status epilepticus is a possible complication of seizures but not directly related to Phenytoin, bronchospasm is more likely to occur in asthma exacerbations rather than with Phenytoin use, and exercise and albuterol are not directly linked to the child's risk for developing gingival hyperplasia.