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 D

Explanation

corticosteroids such as prednisone are potent anti-inflammatory agents used in inflammatory conditions such as rheumatoid arthritis. This reduces the features of inflammation which include reduction of pain.
A. Prednisone reduces bone density
B. Prednisone lowers the body's immunity increasing the risk of infection
C. Prednisone increases risk of cardiovascular disease but does not directly interfere with peripheral blood

A. Insulin glargine has a duration of action of 18 to 24 hr. B. Insulin glargine has a duration of action of 16 to 24 hr. C. Insulin glargine has a duration of action of 3 to 6 hr. D. Insulin glargine has a duration of action of 6 to 10 hr.

Correct Answer is A

Explanation

Insulin glargine is a long acting insulin that has a long duration of action. This allows it to be used as a basal insulin to mimic the body's basal insulin release.

Rapid acting insulins have a duration of effect of 3-6 hours. They are used as premeals doses to provide additional insulin due to glucose peaks 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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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