A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

Be sure the child has not eaten within the hour

Check the child’s blood pressure

Shake the container vigorously.

Perform mouth care.

Answer and Explanation

The Correct Answer is C

When administering phenytoin in suspension, it is essential to shake the container vigorously to ensure that the medication is well mixed and the correct dose of the active ingredient is given.

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Correct Answer is D

Explanation

Status asthmaticus is an acute, life threatening exacerbation of asthma causes by bronchospasm on exposure to a trigger. Status asthmaticus can lead to respiratory failure. Short acting beta 2 agonists bind to beta 2 receptors on the airway epithelium causing bronchodilation and promotes air flow. They are used as first line due to their short onset of action.
A. Administering an inhaled glucocorticoid is used for long term control of inflammation in asthma but has no role in acute attacks
B. Identification of triggers is important but not a priority in status asthmaticus.
C. Obtaining a peak flow reading is useful but not a priority.

A. Document that the client experienced an anaphylactic reaction to the medication. B. Decrease the infusion rate on the IV. C. Apply cold compresses to the neck area. D. Change the IV infusion site.

Correct Answer is B

Explanation

A. The symptoms described (flushing and tachycardia) are not indicative of an anaphylactic reaction, which typically includes symptoms like difficulty breathing, hives, or swelling. Documenting it as an anaphylactic reaction would be misleading and could lead to inappropriate management.
B. Slowing the infusion rate can help mitigate the symptoms of Red Man Syndrome, which is often related to the rate of vancomycin administration. The recommended infusion rate for vancomycin is generally over at least 60 minutes, and reducing the rate can help alleviate symptoms.
C. Applying cold compresses should help with pain but as important like documentation.
D. The infusion should be continued and not used again for the client.

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A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Correct Answer is D

Explanation

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?

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