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

Rationale- Levothyroxine is a synthetic form of thyroxine that is used in the management of symptomatic hypothyroidism. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism.

A-Levofloxacin is a fluoroquinolone antibiotic for treatment of infections

B- Ionizing radiation used in the destroying active thyroid tissue in the cases of hyperthyroidism

C- Sumatriptan is serotonin antagonist used in the treatment of migraines

A. Limit caffeine intake. B. Rinse the mouth after administration. C. Check the pulse after medication administration. D. Take the medication with meals.

Correct Answer is B

Explanation

Beclomethasone is an inhaled corticosteroid used as controller therapy is asthma to prevent bronchial hyperresponsiveness and airway remodeling. Rinsing the mouth prevents oral thrush and throat irritation that may occur due to continuous deposition of the steroid in the mouth.
A. Beclomethasone has no significant interaction with caffeine
C. Beclomethasone does not cause changes in pulse
D. Being an inhaled medication, it has no relation with 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 providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

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