The nurse is working on a neurosurgery unit. The patient calls the desk to complain that his arm is really burning and feels hot. The patient is receiving IV phenytoin for his grand mal seizures. What is the nurse's best action?

Call the health carer provider immediately to change the medication to oral.

Continue the infusion and reassure the patient.

Flush the line with 10 mL of normal saline and continue the infusion.

Discontinue the IV and restart the IV infusion in a different site

Answer and Explanation

The Correct Answer is D

A. Call the health care provider immediately to change the medication to oral.

Changing the medication to oral may not address the immediate issue of the burning sensation and feeling of heat at the IV site. This option focuses on changing the route of administration rather than addressing the current discomfort.

B. Continue the infusion and reassure the patient.

Continuing the infusion without addressing the patient's discomfort could lead to potential complications, and it is important to prioritize patient comfort and safety. Reassurance alone may not be sufficient if there is an issue with the IV site.

C. Flush the line with 10 mL of normal saline and continue the infusion.

While flushing the line with normal saline is a good practice to ensure patency, it may not resolve the issue if there is ongoing irritation or infiltration at the site. Continuing the infusion without addressing the patient's complaint might lead to further discomfort.

D. Discontinue the IV and restart the IV infusion in a different site.

This is the best action. Discontinuing the IV allows the nurse to assess the current site for signs of infiltration or irritation. Restarting the IV in a different site addresses the immediate issue, ensuring that the medication is delivered safely and effectively.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. "I need to increase my fluid intake." - This is a correct statement. Sucralfate should be taken with plenty of water to ensure proper absorption and effectiveness.

B. "I need to report pain or vomiting of blood." - This is also a correct statement. Severe abdominal pain or vomiting of blood may indicate a serious issue and should be reported to the healthcare provider.

C. "I need to take Carafate 30 minutes after meals." - This is an incorrect statement. Sucralfate is typically taken on an empty stomach, about 1 hour before meals and at bedtime.

D. "I need to take Maalox 30 minutes before or after Carafate." - This statement is correct. Antacids like Maalox can interfere with the absorption of sucralfate. It's generally recommended to space them apart, taking sucralfate at least 30 minutes before or after antacids.

A. "It will help your baby gain weight faster." B. "Caffeine can help your baby breathe better." C. "This isn't the same substance that is in coffee." D. "The baby's temperature will be warmer with caffeine."

Correct Answer is B

Explanation

A. "It will help your baby gain weight faster."

This statement is not accurate. Caffeine citrate is not given to help with weight gain; its primary use is to stimulate the respiratory center in preterm infants and improve breathing.

B. "Caffeine can help your baby breathe better."

This is the correct response. Caffeine citrate is commonly used in premature infants to stimulate the respiratory center, leading to improved breathing. It is a standard treatment to reduce the risk of apnea of prematurity.

C. "This isn't the same substance that is in coffee."

While caffeine citrate is derived from caffeine, this statement might be confusing and does not directly address the specific benefits of caffeine citrate for preterm infants.

D. "The baby's temperature will be warmer with caffeine."

This statement is not accurate. Caffeine citrate is not used to affect the baby's temperature; its primary effect is on the respiratory system.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is working on a neurosurgery unit. The patient calls the desk to complain that his arm is really burning and feels hot. The patient is receiving IV phenytoin for his grand mal seizures. What is the nurse's best action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has taught a patient about sucralfate (Carafate). Which statement indicates that the patient requires further teaching?

Correct Answer is C

Explanation

A woman gives birth to a 28 week infant. The infant is scheduled to receive caffeine citrate after birth. The mother asks, "Why are you giving my baby stuff that is in coffee?' What is the nurses best response?

Correct Answer is B

Explanation

A patient is suspected to have peptic ulcer disease from H. pylori. The patient asks the nurse what kind of testing will be done to determine the cause of the peptic ulcer. What will the nurse tell the client?

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching the patient?

The nurse prepares to administer benztropine to the patient with Parkinson's Disease. The nurse holds the dose and notifies the physician based on which assessment finding?

A patient is experiencing status epilepticus. The nurse prepares to give which drug of choice for the treatment of this condition?

A patient who complains of gastric distress from NSAIDS such as aspirin or indomethacin will most likely benefit from the administration of which medication?

The nurse is working on a neurosurgery unit. The patient calls the desk to complain that his arm is really burning and feels hot. The patient is receiving IV phenytoin for his grand mal seizures. What is the nurse's best action?

Prescribed is 80 mg of gentamicin in 50 mL to infuse in 30 minutes. The nurse would program the electronic infusion pump at what rate?

Order: Fluconazole (Diflucan) 5 mg/kg p.o. every day. The label on the bottle reads "50 mg/tablet." Calculate how many capsules you should administer for a child who weighs 44 pounds.