A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

Be sure the child has not eaten within the hour

Check the child’s blood pressure

Shake the container vigorously.

Perform mouth care.

Answer and Explanation

The Correct Answer is C

When administering phenytoin in suspension, it is essential to shake the container vigorously to ensure that the medication is well mixed and the correct dose of the active ingredient is given.

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Correct Answer is B

Explanation

Beyond the expiration date drugs should be discarded as the efficacy and safety of the medication cannot be guaranteed. Using expired medication can lead to reduced effectiveness or even potential harm to the client.

A. Returning the medication to the pharmacy may not be feasible, as the medication is expired and should not be used. The proper course of action is to discard it.

C. Notifying the provider is unnecessary in this situation.

D. Using expired medication can compromise client safety and is not in accordance with best practice guidelines.

A. “Stop taking the pills and switch to a different contraceptive method” B. "Take a home pregnancy test. C. "Do not have vaginal intercourse until after your next period." D. "Take the missed dose now, then continue the medication as ordered."

Correct Answer is D

Explanation

During the first week or last week of a 28-day cycle pack of oral contraceptives increases the risk of contraceptive failure. However, the client should take the missed dose as soon as they remember, even if it means taking two pills in one day. After taking the missed dose, the client should continue taking the remaining pills in the pack at the usual time, one pill per day. Due to increased risk of failure, client should use an emergency pill or condom for the next 7 days
A -stopping the pills and switching to a different contraceptive method is not necessary after missing one dose
B –missing a pill does not automatically indicate pregnancy. Testing can be considered in presence of typical signs and symptoms of pregnancy
C- abstaining from vaginal intercourse until after the next period is not necessary. Risk of pregnancy can be addressed by use of back up contraception like condoms.

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A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

Correct Answer is D

Explanation

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