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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Ibuprofen is a non-selective nonsteroidal anti-inflammatory drug (NSAID) used to manage pain and inflammation. It prevents the synthesis of protective prostaglandins in the stomach leading to gastric irritation and ulceration. Taking ibuprofen with food reduces the risk of gastrointestinal irritation.
A. Ibuprofen does not cause weight loss
C. Ear ringing is not an expected side effect and any occurrence of such should be reported
D. Ibuprofen is stable at room temperature and does not require refrigeration
Correct Answer is A
Explanation
Rationale-Warfarin is a coumarin oral anticoagulant. Unlike heparin, warfarin has an onset of action of 4-5 days and requires this duration to give its effect. Before its action takes effect, heparin is required to bridge the gap to prevent clot formation hence the overlap period. IV heparin has no effect on the action of warfarin as an anticoagulant as they have different modes of action
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