A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

B. Shake the container vigorously:

This is the correct action. Phenytoin suspension tends to settle over time, leading to non-uniform distribution of the medication in the suspension. Therefore, shaking the container vigorously before administering each dose ensures proper dispersion of the medication and helps maintain consistent drug concentration, thus promoting therapeutic efficacy.

A. Check the child's blood pressure:

Checking the child's blood pressure is not directly related to the administration of phenytoin suspension. Monitoring blood pressure may be indicated in certain clinical situations or with certain medications, but it is not specifically required before administering phenytoin suspension.

C. Be sure the child has not eaten within the hour:

While it's important to consider food-drug interactions with certain medications, such as those affected by food intake, there are no specific dietary restrictions associated with phenytoin suspension administration. Therefore, checking whether the child has eaten within the hour is not a necessary step before administering phenytoin suspension.

D. Perform mouth care:

Performing mouth care is not directly related to the administration of phenytoin suspension. However, oral hygiene is important for overall health, especially in children who may have difficulty performing adequate mouth care independently. While mouth care should be encouraged, it is not specifically required before administering phenytoin suspension.

A. Disulfiram: Disulfiram is not used to manage alcohol withdrawal. It is a medication used in the treatment of alcohol dependence to deter alcohol consumption by producing unpleasant side effects if alcohol is ingested.

B. Methadone: Methadone is primarily used in the treatment of opioid dependence as a long-acting opioid agonist. It is not indicated for alcohol withdrawal.

C. Buprenorphine: Buprenorphine is also used in the treatment of opioid dependence. Like methadone, it is not used in the management of alcohol withdrawal.

D. Diazepam: Diazepam is a benzodiazepine medication commonly used to manage alcohol withdrawal symptoms. It helps alleviate symptoms such as anxiety, agitation, tremors, and seizures associated with alcohol withdrawal. Benzodiazepines are the mainstay of treatment for alcohol withdrawal syndrome due to their ability to suppress central nervous system hyperexcitability and prevent progression to severe withdrawal symptoms and seizures.