A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take

Dilute the medication with dextrose 5k in water.

Administer a saline solution after injection.

Administer the medication at 100 mg/min.

Hold the injection if seizure activity is present.

Answer and Explanation

The Correct Answer is B

It is recommended that every injection of phenytoin be followed by infusion of at least 50 to 100mls of normal saline infusion. This is important to prevent local irritation that occurs as surrounding tissues react to the medication.

A. Mixing phenytoin in dextrose 5% is not recommended due risk of precipitation of the Phenytoin acid

C. Phenytoin should be given at a date of 50mg/min or less to reduce the risk of toxicity

D. The injection should not be held as it is used to manage the seizure unless it is not safe for the nurse to give it

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Correct Answer is B

Explanation

alcohol withdrawal can present with agitation, anxiety, seizures and hallucinations. Diazepam is a benzodiazepine that helps to control the symptoms by potentiating the inhibitory mechanisms of the brain.
A. Buprenorphine is an opioid uses in pain management.
C. Disulfiram is used in the management of alcohol use disorder
D. Methadone is an opioid used in management of pain and opioid dependence.

A. Expect stools to turn black. B. Anticipate the tablets to smell like vinegar. C. Monitor for tinnitus. D. Take the tablets on an empty stomach.

Correct Answer is C

Explanation

Aspirin is a salicylate that has multiple effects. When taken in excess in susceptible individuals it can cause tinnitus due to salicylism. The client should be advised to report any tinnitus to the provider as this may be a sign of aspirin toxicity.
A. Black stool is the client signifies upper GI bleeding that should be monitored for and reported if it occurs
B. Aspirin tablets have a vinegar smell when hydrolysis has taken place and should not be taken at this point
D. Aspirin should be taken with meals or after meals

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A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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