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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When using multiple eye drops, it's generally recommended to wait at least 5 minutes between administering each medication. This helps prevent dilution of the medication and improves its absorption.
A is incorrect because holding pressure on the conjunctival sac after administering eye drops is not necessary and may increase systemic absorption of the medication.
C is incorrect because contact lenses should typically be removed before administering eye drops to prevent interference with the medication reaching the eye.
D is incorrect because touching the tip of the dropper to the sclera of the eye can contaminate the dropper tip and increase the risk of infection. It's important to administer eye drops without touching the tip to the eye or any other surface.
Correct Answer is C
Explanation
Rationale- Live attenuated influenza vaccine is a weakened form of the influenza virus that promotes production of antibodies in the host to fight infections in case of exposure to influenza virus. The virus is contraindicated in individuals with weak immune system such as those above 50 years old due to risk of causing severe infection.
A-History of MI is not an immunocompromised state
B-History of cigarette smoking predisposes to influenza infection but is not a contraindication to LAV D-History of travel to Europe could expose have exposed the client to influenza but that is not a
contraindication to LAV
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