A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?
Red man syndrome
Hypotension
Hypoglycemia
Bradycardia
The Correct Answer is B
Choice A rationale:
Red man syndrome is typically associated with the rapid infusion of vancomycin, not phenytoin.
Choice B rationale:
Hypotension can be an adverse effect of phenytoin administration, especially if the medication is administered rapidly.
Choice C rationale:
Hypoglycemia is not commonly associated with phenytoin use.
Choice D rationale:
Bradycardia is not commonly associated with phenytoin use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
BUN (blood urea nitrogen) measures kidney function and hydration status but is not a specific indicator for withholding triamterene.
Choice B rationale:
Triamterene is a potassium-sparing diuretic. With a potassium level of 5.3 mEq/L, which is elevated, the nurse should withhold the medication to prevent further potassium retention.
Choice C rationale:
Sodium level of 142 mEq/L is within the normal range and does not indicate a need to withhold triamterene.
Choice D rationale:
Albumin level of 4 g/dL is within the normal range and does not directly impact the decision to withhold triamterene.
Correct Answer is ["7.5"]
Explanation
The correct answer is 7.5 ML
To answer this question, we need to use the formula:
mL to administer = (mEq ordered / mEq available) x mL available Plugging in the values from the question, we get:
mL to administer = (20 mEq/day / 6.7 mEq/5 mL) x 5 mL Simplifying, we get:
mL to administer = (2.99 mL/mEq) x 5 mL Multiplying, we get:
mL to administer = 14.95 mL/day
Since the order is to divide the dose equally every 12 hours, we need to divide the total daily dose by 2:
mL to administer per dose = 14.95 mL/day / 2 Dividing, we get:
mL to administer per dose = 7.475 mL
Rounding to the nearest tenth, we get:
mL to administer per dose = 7.5 mL
Therefore, the nurse should administer 7.5 mL of potassium chloride elixir per dose.
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