The client is to receive phenytoin 100 mg q8h.
What is the correct military time that the nurse should document in the chart for the last dose of the day if the first dose was given at 0600?
The Correct Answer is ["2200"]
If the first dose of phenytoin was given at 0600, the next dose should be given 8 hours later at 1400 (2:00 PM) and the third dose should be given 8 hours after that at 2200 (10:00 PM).
To convert these times to military time, we can add 12 to any time after 12:00 PM (noon). Therefore, the correct military times for administering the phenytoin doses would be:
1st dose = 0600 (6:00 AM)
2nd dose = 1400 (2:00 PM)
3rd dose = 2200 (10:00 PM)
The last dose of the day should be given at 2200 (10:00 PM).
To document the administration of the medication in military time, the nurse should record the time as 2200 in the client's chart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It is important for the nurse to personally prepare and verify the medication before administering it to the patient to ensure accuracy and safety. Nor is it acceptable practice to administer a medication that another has prepared. The reasons for this strict rule are numerous. First and foremost, because preparation and administration are fraught with potential for error, relying on another nurse to prepare a medication that you administer is dangerous at best. Ultimately, the responsibility for safe medication administration falls on the administering nurse, regardless of who prepared the medication.
Correct Answer is ["A","C","D"]
Explanation
Norepinephrine and epinephrine are catecholamines released by the adrenal medulla during the "fight or flight" response. They have several physiological effects, including increasing heart rate, pupil dilation, and blood pressure. Additionally, epinephrine causes bronchodilation, while norepinephrine causes vasoconstriction. Therefore, the nurse should monitor the client for signs of hypertension, tachycardia, and increased respiratory rate.
Increased urine output, is incorrect because catecholamines decrease urine output by activating the renin-angiotensin-aldosterone system.
Constriction of blood vessels is incorrect because norepinephrine causes vasoconstriction, not vasodilation.
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