A nurse is preparing to administer 800 mg of phenytoin via IV infusion to a client who is experiencing status epilepticus. Which of the following actions should the nurse take when administering the medication?

Administer the phenytoin infusion over 5 min.

Flush with 0.9% sodium chloride after administration.

Flush with 100 units/mL of heparin after administration.

Administer the phenytoin in 100 mL of D5W

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Phenytoin should be administered slowly to avoid adverse effects. Infusing 800 mg over 5 minutes is too rapid and can lead to cardiovascular complications.

Choice B rationale:

Rationale: After administering phenytoin via IV, it's important to flush the IV line with normal saline (0.9% sodium chloride) to ensure the medication is fully delivered to the client and to prevent any residual medication from precipitating in the IV line.

Choice C rationale:

Flushing with heparin is not standard practice for administering phenytoin.

Choice D rationale:

Phenytoin should be administered in normal saline, not in D5W (dextrose 5% in water), to avoid precipitation.

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Correct Answer is A

Explanation

Choice A rationale:

Inflammatory bowel disease, including Crohn's disease, can lead to decreased albumin levels due to malabsorption and inflammation.

Choice B rationale:

Increased erythrocyte sedimentation rate (ESR) is more likely in inflammatory conditions.

Choice C rationale:

Decreased hematocrit is more common due to potential blood loss.

Choice D rationale:

Decreased protein levels are expected due to inflammation and malabsorption.

A. "Thaw frozen foods at room temperature before cooking." B. "Reduce your intake of calcium-containing foods." C. "Cook raw fish and steak to the well-done stage." D. "Cut damaged areas from fruits and vegetables before consuming."

Correct Answer is C

Explanation

Choice A rationale:

Thawing frozen foods at room temperature can promote bacterial growth, increasing the risk of foodborne illness.

Choice B rationale:

There is no need for the client to reduce their intake of calcium-containing foods specifically to prevent foodborne illness. Calcium-containing foods are not associated with an increased risk of bacterial contamination.

Choice C rationale:

Cooking raw fish and steak to the well-done stage is recommended to kill harmful bacteria and reduce the risk of foodborne illness, which is particularly important for individuals with neutropenia who are more susceptible to infections.

Choice D rationale:

Cutting damaged areas from fruits and vegetables is a good practice to reduce the risk of contamination, but it does not address the risk of bacterial contamination from undercooked meat and fish.

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A nurse is preparing to administer 800 mg of phenytoin via IV infusion to a client who is experiencing status epilepticus. Which of the following actions should the nurse take when administering the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of an older adult client who has inflammatory bowel disease and Crohn's disease. Which of the following laboratory results should the nurse expect?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has neutropenia about preventing foodborne illness. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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