The nurse is caring for a client with a serum blood glucose of 855 mg/dL who is to receive a continuous infusion of prescribed regular insulin 15 units/hr, IV. The pharmacy delivers regular insulin as 100 units in 100 ml of normal saline. How many milliliters per hour should the nurse administer to the client? Enter numeric value only.

A. Phenytoin (Dilantin) is known to cause gingival hyperplasia (gum overgrowth), so it is important for the client to maintain good oral hygiene to help reduce the risk of this side effect. Regular brushing, flossing, and dental check-ups are recommended to help manage and prevent gum problems.
B. Phenytoin has a narrow therapeutic index, meaning that small changes in the dose or blood levels of the drug can have significant effects. Switching between brand name and generic forms of phenytoin may lead to variations in drug absorption, potentially affecting the client’s seizure control. The client should use the same brand unless instructed otherwise by their healthcare provider.
C. Phenytoin is not considered safe during pregnancy due to the risk of birth defects (e.g., fetal hydantoin syndrome). Women who are pregnant or planning to become pregnant should discuss alternative treatments with their healthcare provider.
D. Phenytoin can be taken with food to reduce gastrointestinal irritation. It is important to follow the specific instructions provided by the healthcare provider or pharmacist.

A. Place the client in the recovery position if possible. If the client is not actively seizing, placing them in the recovery position (on their side) can help prevent aspiration and allow for better airway management after the seizure ends. However, during the seizure, ensure their safety first.
B. Document the start and stop time of the seizure. It is important to document the timing of the seizure to help assess its duration and determine the appropriate interventions. This also helps guide treatment decisions post-seizure.
C. Hold arms at the client's side to prevent thrashing or injury. The nurse should not restrain the client during a seizure. Trying to hold the client’s arms or restrict their movements can cause injury. The goal is to ensure safety and prevent injury, but not to restrain them.
D. Remove any dangerous objects near the client. Clearing the area of any hard or sharp objects can prevent injury to the client during the seizure.
E. Assist the client to the floor. If the client is standing or sitting during the onset of the seizure, assist them to the floor gently to prevent injury from falling. Ensure that the area is clear of hazards.