A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis? (Select all that apply)(Select All that Apply.)

To calculate the volume of chlorpromazine to administer per dose, we'll use the formula:

Volume(mL)=Totaldoseneeded(mg)/Concentrationofthemedication(mg/mL)

Given: Total dose needed per dose = 50 mg

Concentration of chlorpromazine injection = 25 mg/mL

Substituting the given values into the formula:

Volume(mL)=50 mg/25 mg/mL

Volume(mL)=2 mL

Rounded to the nearest whole number, the nurse should administer 2 mL of chlorpromazine per dose.

A. Hold the injection if seizure activity is present:

This is incorrect. Phenytoin is an antiepileptic medication used to prevent seizures. If a client with a seizure disorder is experiencing seizure activity, it is essential to administer phenytoin promptly to help control and prevent further seizures.

B. Administer the medication at 100 mg/min:

This is incorrect. Phenytoin should be administered at a rate no faster than 50 mg/min to reduce the risk of adverse effects such as hypotension, arrhythmias, and cardiovascular collapse. Rapid infusion can cause adverse reactions such as hypotension, bradycardia, and cardiac arrhythmias.

C. Dilute the medication with dextrose 5% in water:

This is incorrect. Phenytoin should not be diluted with dextrose-containing solutions, as it can cause precipitation and result in clogging of the IV line. It is typically administered undiluted or diluted with normal saline solution.

D. Administer a saline solution after injection:

This is the correct action. After administering phenytoin IV, it is recommended to flush the IV line with normal saline solution to ensure that the medication is fully delivered and to prevent any remaining medication from precipitating in the IV line, which could lead to occlusion.