Question

What instructions should a nurse give to a patient who has focal seizures well controlled with phenytoin and who has mild gingival hyperplasia? Select all that apply.

a. Maintain regular dental check-ups
b. Perform daily gum massage
c. Avoid dental visits
d. Practice good oral hygiene

Answer 1

A patient with well-controlled focal seizures on phenytoin and mild gingival hyperplasia should maintain regular dental check-ups, perform daily gum massages, and practice good oral hygiene. It is not advised to avoid dental visits.

Step-by-step explanation:

The instructions a nurse should give to a patient who has focal seizures well controlled with phenytoin and who has mild gingival hyperplasia include:

1. Maintain regular dental check-ups to monitor the health of the gums and teeth.
2. Perform daily gum massage to stimulate circulation and help reduce gingival hyperplasia.
3. Practice good oral hygiene including brushing and flossing to prevent plaque build-up which can exacerbate gum issues.

Avoiding dental visits is not recommended as professional care is necessary to address and monitor complications such as gingival hyperplasia.