A nurse is preparing to administer phenytoin. Which of the following information should the nurse identify as correct according to the medication label?
The medication is for IV administration.
The total amount available per container is 4 mL.
The nurse should avoid shaking the medication.
The medication should not be stored below 30 C(86 F)
The Correct Answer is B
A. The medication is for IV administration: This cannot be assumed unless the label specifically states “for intravenous use.” Phenytoin comes in multiple formulations (oral suspension, tablets, IV), so route must be verified.
B. The total amount available per container is 4 mL: This is label-specific information. If the label indicates that each vial contains 4 mL, this is a factual and critical point to ensure accurate dosing.
C. The nurse should avoid shaking the medication: While some medications (e.g., suspensions) should not be shaken vigorously, phenytoin IV solution is not a suspension, and this instruction may not apply to all forms.
D. The medication should not be stored below 30°C (86°F): This is incorrect. Phenytoin should be stored at controlled room temperature, typically 20°C to 25°C (68°F to 77°F), and protected from excessive heat or cold.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
To calculate the IV pump rate in mL/hr, you need to divide the volume of the solution in mL by the infusion time in hr. In this case, the formula is 100 mL / 1 hr = 100 mL/hr.
Therefore, the nurse should set the IV pump to deliver 100 mL/hr of metronidazole.
Correct Answer is ["1.5"]
Explanation
To calculate the amount of phenobarbital injection needed for each dose after the initial dose, we need to divide the prescribed dose (200 mg) by the concentration of the injection (130 mg/mL). This gives us:
200 mg / 130 mg/mL = 1.538 mL
To round this to the nearest tenth, we look at the hundredths place and see that it is 3, which is less than 5, so we round down and drop the rest of the digits. This gives us:
1.5 mL
Therefore, the nurse should administer 1.5 mL of phenobarbital injection per dose after the initial dose.
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