A nurse is preparing to administer midazolam 0.2 mg/kg via IV bolus now. The client weighs 220 lb. How many mg should the nurse administer?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A. Avoid flossing the teeth to prevent gum irritation: There is no evidence to suggest that flossing the teeth increases the risk of gum irritation with phenytoin use. In fact, proper dental hygiene, including flossing, is essential to prevent gum disease, which can be exacerbated by the medication.

B. Alcohol increases the chance of phenytoin toxicity: Consumption of alcohol can increase the risk of phenytoin toxicity by enhancing its effects. Therefore, clients taking phenytoin should avoid alcohol consumption to prevent adverse effects and ensure the medication's efficacy.

C. Take an antacid with the medication if indigestion occurs: Phenytoin can interact with antacids, reducing its absorption and effectiveness. Therefore, clients should not take antacids concurrently with phenytoin unless directed by their healthcare provider.

D. Phenytoin turns urine blue: Phenytoin does not typically cause changes in urine color. This statement is incorrect and not relevant to the client's medication regimen.

B. "Describe what the pill looks like":

This is the correct response. Asking the client to describe the pill they usually take helps to verify whether the medication being administered matches the client's usual medication. It allows the nurse to confirm whether the client's concern is due to a legitimate difference in appearance or if there might be a potential medication error.

A. "This pill is probably from a different lot number than yours at home":

While lot numbers can vary between batches of medication, this response does not directly address the client's concern about the difference in appearance. It's important to prioritize addressing the client's immediate concerns and verifying the medication's identity.

C. "This hospital might use a different manufacturer, but the medication is the same":

While this response reassures the client about the medication's efficacy, it does not directly address the client's concern about the difference in appearance. Verifying the medication's identity based on the client's description is essential before proceeding with administration.

D. "This is the medication prescribed by your provider":

This response does not address the client's concern about the difference in appearance and may not alleviate their apprehension. Verifying the medication's identity based on the client's description is necessary to ensure the correct medication is administered.