A client with a history of seizures is prescribed phenytoin (Dilantin). Which instruction should the nurse include in the teaching plan?

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ATI Vital Signs Test 58 Questions Quizlet Questions

Question 1 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin). Which instruction should the nurse include in the teaching plan?

Correct Answer: C

Rationale: Phenytoin causes gingival hyperplasia; gentle brushing (C) prevents gum issues. Stopping for a rash (A) requires medical advice, meals (B) aren’t required, and vitamin K (D) is unrelated.

Question 2 of 5

With which clients is the nurse especially vigilant in actions to prevent infection? Select one that apply..

Correct Answer: B

Rationale: Chemotherapy (B) increase infection risk due to immunosuppression or chronic illness. Fractures (A) no flu vaccine (C) and allergies (D) are lower risk.

Question 3 of 5

What is the normal pulse rate of a newborn infant?

Correct Answer: A

Rationale: The normal pulse rate for a newborn is 100-150 beats per minute as their heart rate is faster than adults due to higher metabolic demands. Options B C and D are more typical for older children or adults.

Question 4 of 5

Of all the physiological needs

Correct Answer: D

Rationale: Oxygen is the most essential need as humans can survive only minutes without it per Maslow's hierarchy. Food (A) water (B) and elimination (C) are important but less immediately critical.

Question 5 of 5

The nurse is directing nursing assistive personnel (NAP) to make an occupied bed. What will the nurse say to minimize the risk of disease transmission to staff and patient during the bed change?

Correct Answer: A

Rationale: Standard Precautions (e.g., gloves, hand hygiene) are the primary method to minimize disease transmission during bed-making. Warning about blood (B) is specific, rolling toward the uniform (C) increases contamination risk, and linen bag placement (D) is less critical.

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