Question

A client that has been taking phenytoin​ (Dilantin) tells the nurse they want to stop taking the medication due to the side effects. Which response should the nurse provide the​ client?

a. ​"Another prescription can be added to decrease the side​ effects."
b. "Side effects are a​ problem, but they are not as bad as the seizures you were​ having."
c. "Your seizures have been controlled so I will let your healthcare provider know that you no longer will be taking the​prescription."
d. "Please do not stop the prescription​ abruptly, as you will have withdrawal​ seizures."

Answer 1

The best response for a nurse when a client wants to stop phenytoin due to side effects is to advise against abrupt discontinuation to avoid withdrawal seizures, and to consult their healthcare provider for a safe alternative plan.

Step-by-step explanation:

When a client expresses a desire to stop taking phenytoin (Dilantin) due to side effects, the appropriate response for the nurse would be, "Please do not stop the prescription abruptly, as you will have withdrawal seizures." It is important to communicate that sudden discontinuation of anticonvulsant medication can lead to serious complications, including withdrawal seizures, which could be more severe than the side effects experienced. Instead, the nurse should advise the client to discuss their concerns with their healthcare provider, who can guide them through a safe process, which may include tapering off the medication or exploring alternative treatments to manage their epilepsy.