You are to administer phenytoin (Dilantin) IV to a child who is having a series of seizures. Which of the following things is most important for you to do?
a. Hold the medication if the apical pulse is below 60.
b. Administer the medication as quickly as possible.
c. Push the medication between seizures or wait for a mild seizure.
d. Administer at a rate no greater than 0.5-1 milligram per kilogram (mg/kg) per minute.
D
Feedback
A Incorrect. Assessment of the apical rate is not a parameter for Dilantin administration.
B Incorrect. Dilantin should be administered slowly, according to the recommended rate.
C Incorrect. Dilantin administration should not be prolonged until the client is between seizures or has a mild seizure.
D Correct. Dilantin should not be administered at a rate greater than 0.5-1 mg/kg per minute.
You might also like to view...
The nurse performing a client assessment will identify which of the following data as consistent with
psychodynamic factors associated with chemical addictions (more than one answer may be correct)? A. High tolerance for frustration and pain B. Lack of success in life C. Stable mature relationships D. Low self-esteem E. Propensity for risk taking
Which national organization has begun to link public health electronic health records (EHRs) with an immunization tracking system?
1. NIH 2. CDC 3. ANA 4. AACN
To reduce pressure points that may lead to pressure ulcers, the nurse should:
1. Position the client directly on the trochanter when side-lying 2. Use a donut device for the client when sitting up 3. Elevate the head of the bed as little as possible 4. Massage over the bony prominences
The active form of management by exception
a. Is slightly more effective than the passive form b. Is considered non-leadership c. Is similar to individualized consideration d. Is enacted only once problems arise