The nurse is to administer 100 mg phenytoin (Dilantin) intravenous (IV)
Vital signs assessed by the nurse include blood pressure 90/60 mm Hg, heart rate 52 beats/min, respiratory rate 18 breaths/min, and oxygen saturation (SpO2) 99% on supplemental oxygen at 3 L/min by cannula. To prevent complications, what is the best action by the nurse? a. Administer over 2 minutes.
b. Administer over 5 minutes.
c. Mix medication with 0.9% normal saline.
d. Administer via central line.
B
In the presence of hypotension and bradycardia, administering the medication over 2 minutes is too fast. Mixing medication with 0.9% normal saline prevents precipitation of the medication but will not prevent complications related to this scenario. Administering the medications via central line will not prevent complications related to this scenario.
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a. Herniated disk b. Muscle spasm in lower back c. Spinal cord injury d. Sciatica
Parenteral medications only include IV, IM, subcut, or ID routes
Indicate whether the statement is true or false
The nurse is caring for a group of clients on a medical–surgical unit. For which clients would the nurse anticipate the need for intravenous fluid therapy to correct fluid depletion?
Standard Text: Select all that apply. 1. A client suffering from constipation 2. A client exhibiting nausea and vomiting following a surgical procedure 3. A client with a severe burn 4. A client with congestive heart failure with edema to the lower extremities and rales 5. A client with uncontrolled diabetic ketoacidosis
The nurse has provided education for a client with diabetes mellitus prescribed metoprolol (Lopressor) for hypertension. Which statement made by the client indicates an understanding of the information?
A. "I might not need to check my blood sugars as often with metoprolol (Lopressor)." B. "I might be able to change from insulin to a pill with metoprolol (Lopressor)." C. "I might need less insulin when I take metoprolol (Lopressor)." D. "I might need more insulin when I take metoprolol (Lopressor)."