A patient with epilepsy is prescribed phenytoin for long-term seizure control. Which adverse effect should the nurse monitor for during follow-up?
Correct answer: A. Gingival enlargement and bleeding
- A. Gingival enlargement and bleeding
- B. Severe urinary frequency and thirst
- C. Persistent dry cough and hoarseness
- D. Yellow discoloration of the sclera
Explanation
Phenytoin can cause gingival hyperplasia, especially when oral hygiene is poor, so regular dental care is important. The other findings are not characteristic adverse effects of phenytoin.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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