The physician orders fosphenytoin (Cerebyx), 1.5 g intravenous (IV) loading dose for a 75-kg patient in status epilepticus. What is the most important action by the nurse?
a. Contact the admitting physician.
b. Administer drug over 10 minutes.
c. Mix medication with 0.9% normal saline.
d. Administer via central line.
B
The nurse can administer the medication over 10 minutes as ordered (100-150 mg phenytoin equivalent [PE] over 1 full minute). The drug dose ordered is appropriate for the patient's weight. Fosphenytoin (Cerebyx) does not have to be administered with normal saline or via a central line.
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Which of the following statements best describes why the federal government is unable to do whatever politicians currently in power want?
a. The citizens would rise up in rebellion if actions were outrageous. b. The lack of funds to implement actions are seen as unreasonable by a majority of voters. c. Only the actions authorized by the Constitution are legitimate. d. The states would rebel and withdraw from the union.
With organisms that produce penicillinase, the medication used should be:
1. acid stable. 2. extended-spectrum. 3. penicillinase-resistant. 4. narrow-spectrum.
A client is 24 hours postoperative after a tracheostomy has been performed. The nurse finds the client cyanotic, with the tracheostomy tube lying on his chest. Which action by the nurse takes priority?
a. Auscultate breath sounds bilaterally. b. Ventilate with a resuscitation bag and mask. c. Call a code or the Rapid Response Team. d. Insert a new obturator into the neck.
When discussing energy needs with an older client, the nurse should emphasize the importance of consuming foods that supply enough calories to meet his daily energy requirements while maintaining a nutritional balance
The nurse needs to explain that foods contain different numbers of calories, with the following containing the most calories per gram: 1. Proteins 2. Fats 3. Alcohol 4. Carbohydrates