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

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. Mannitol B. Albumin C. Hydroxyethyl glucose D. Dextran 70

Correct Answer is A

Explanation

Following traumatic brain injury, the cerebral tissues undergoes an inflammatory process in response to the trauma leading to brain edema. This increases intracranial pressure which presents with features such as seizures, headaches and other focal neurological deficits. Mannitol is an osmotic diuretic that works by drawing water out of brain tissue and into the bloodstream, thereby reducing cerebral edema and intracranial pressure.
B, C, D have no role in raised intracranial pressure

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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

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