When administering phenytoin (Dilantin) to a child, the nurse should b

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Question 1 of 5.

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

A. Stephens-Johnson syndrome

B. Folate deficiency

C. Leukopenic aplastic anemia

D. Granulocytosis and nephrosis

Explanation: Stephens-Johnson syndrome is a toxic effect of phenytoin. Folate deficiency is a side effect of phenytoin, but not a toxic effect. Leukopenic aplastic anemia is a toxic effect of carbamazepine (Tegretol). Granulocytosis and nephrosis are toxic effects of trimethadione (Tridione).

Question 2 of 5.

A client is admitted with disseminated herpes zoster (shingles). According to the Centers for Disease Control Guidelines for Infection Control:

A. Airborne precautions will be needed.

B. No special precautions will be needed.

C. Only contact precautions will be needed.

D. Droplet precautions will be needed.

Explanation: Disseminated herpes zoster requires airborne precautions because the varicella-zoster virus can spread through respiratory droplets in immunocompromised patients.

Question 3 of 5.

The nurse is caring for an adolescent with a five-year history of bulimia. A common clinical finding in the client with bulimia is:

A. Extreme weight loss

B. Dental caries

C. Hair loss

D. Decreased temperature

Explanation: Frequent vomiting in bulimia exposes teeth to stomach acid, leading to dental caries (tooth decay), a common clinical finding.

Question 4 of 5.

The nurse is providing dietary teaching for a client with hypertension. Which food should be avoided by the client on a sodium-restricted diet?

A. Dried beans

B. Swiss cheese

C. Peanut butter

D. Colby cheese

Explanation: Colby cheese is high in sodium, which should be avoided on a sodium-restricted diet to manage hypertension, unlike the other options, which are lower in sodium.

Question 5 of 5.

The nurse caring for a client with closed chest drainage notes that the collection chamber is full.

A. Add more water to the suction-control chamber.

B. Remove the drainage using a 60 mL syringe.

C. Milk the tubing to facilitate drainage.

D. Prepare a new unit for continuing collection.

Explanation: A full collection chamber requires replacing the chest drainage unit to maintain effective drainage and prevent complications like tension pneumothorax.

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