The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should:
A. Maintain strict intake and output
B. Check the pulse before giving the medication
C. Continue breastfeeding as instructed
D. Provide oral hygiene and gum care every shift
Correct Answer: D. Provide oral hygiene and gum care every shift
Option D: Gingival hyperplasia is a side effect of Dilantin; therefore, the nurse should provide oral hygiene and gum care every shift.
Options A and B: They do not apply to the medication.
Option C: Infant breastfeeding is not advisable for women taking this drug since the medication can be secreted in minimal concentrations in human milk.