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1. The child with seizure disorder is being treated with Dilantin
(phenytoin). Which of the following statements by the patient’s mother
indicates to the nurse that the patient is experiencing a side effect of Dilantin
therapy?
A. “She is very irritable lately.â€Â
B. “She sleeps quite a bit of the time.â€Â
C. “Her gums look too big for her teeth.â€Â
D. “She has gained about 10 pounds in the last 6 months.â€Â
Answer C: Hyperplasia of the gums is associated with Dilantin therapy.
Answer A is not related to the therapy; answer B is a side effect, and answer
D is not related to the question.
2. A 5-year-old is admitted to the unit following a tonsillectomy. Which of
the following would indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
Answer D: A complication of a tonsillectomy is bleeding, and constant
swallowing may indicate bleeding. Decreased appetite is expected after a
tonsillectomy, as is a low-grade temperature; thus, answers A and B are
incorrect. In answer C, chest congestion is not normal but is not associated
with the tonsillectomy.
3. A 6-year-old with cerebral palsy functions at the level of an 18-monthold. Which finding would support
that assessment?
A. She dresses herself.
B. She pulls a toy behind her
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