A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take

Dilute the medication with dextrose 5k in water.

Administer a saline solution after injection.

Administer the medication at 100 mg/min.

Hold the injection if seizure activity is present.

Answer and Explanation

The Correct Answer is B

It is recommended that every injection of phenytoin be followed by infusion of at least 50 to 100mls of normal saline infusion. This is important to prevent local irritation that occurs as surrounding tissues react to the medication.

A. Mixing phenytoin in dextrose 5% is not recommended due risk of precipitation of the Phenytoin acid

C. Phenytoin should be given at a date of 50mg/min or less to reduce the risk of toxicity

D. The injection should not be held as it is used to manage the seizure unless it is not safe for the nurse to give it

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Correct Answer is B

Explanation

Beclomethasone is an inhaled corticosteroid used as controller therapy is asthma to prevent bronchial hyperresponsiveness and airway remodeling. Rinsing the mouth prevents oral thrush and throat irritation that may occur due to continuous deposition of the steroid in the mouth.
A. Beclomethasone has no significant interaction with caffeine
C. Beclomethasone does not cause changes in pulse
D. Being an inhaled medication, it has no relation with meals

A. Timolol B. Pilocarpine C. Latanoprost D. Phenylephrine

Correct Answer is D

Explanation

Phenylephrine is an alpha-adrenergic agent. It binds onto adrenergic receptors producing a sympathetic effect that dilates the pupil. Dilation of the pupils allows for visualization of inner structures of the eye and easier access during retinal surgery.
A. Timolol is a beta-blocker eye drop used to reduce intraocular pressure in conditions like glaucoma.
B. Pilocarpine is a miotic agent (constricts the pupil) used to treat conditions like glaucoma.
C. Latanoprost is a prostaglandin analog used to lower intraocular pressure in glaucoma.

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A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Correct Answer is D

Explanation

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