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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Regular insulin (short-acting) and NPH insulin (intermediate-acting) can be mixed and administered in the same syringe. This is a common practice when using both types of insulin to simplify the injection process, as long as the client is instructed on proper mixing techniques.
B. Open vials of insulin can be stored at room temperature (typically up to 25°C or 77°F) for a certain period (usually about 28 days) before they need to be refrigerated again. This makes the insulin more comfortable to inject and helps maintain its effectiveness.
C. Aspiration is not recommended for insulin injections due to the risk of injecting into a blood vessel
D. Insulin injections should be administered subcutaneously, not into a large muscle.
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