What nursing actions are indicated when the nurse is administering phenytoin (Dilantin) by the intravenous route to control seizures? Select all that apply
a. It must be given with D5
1/2NS.
b. The child will require monitoring of therapeutic serum levels while taking this
medication.
c. Dilantin should be given with food because it causes gastrointestinal distress.
d. It must be given in normal saline.
e. It must be filtered.
B, D, E
Feedback
Correct The child should have serum levels drawn to monitor for optimal
therapeutic levels. In addition, liver function studies should be monitored
because this anticonvulsant may cause hepatic dysfunction. The IV dose
must be given in normal saline, not D5
1/2NS. The IV dose must be filtered.
Incorrect The IV dose must be given in normal saline, not D5
1/2NS. Dilantin has not
been found to cause gastrointestinal upset, and since it is being given by
the IV route, this is not a concern. The medication can be taken without
food.
You might also like to view...
A nurse identifies clinical practice problems on a cardiac unit. Which question is a background question?
a. "How should a client experiencing chest pain be prioritized?" b. "What is the experience of a cardiac catheterization like for middle-aged men?" c. "How are a client's vital signs affected by anxiety?" d. "What is the best treatment for a myocardial infarction?"
Which of the following is a characteristic of effective people?
1. Opportunity-oriented 2. Problem-oriented 3. Management-oriented 4. People-oriented
Vasopressin (Pitressin) 0.2 units/min infusion is prescribed for a patient with acute arterial gastrointestinal (GI) bleeding. The vasopressin label states vasopressin 100 units/250 mL normal saline. How many mL/hr will the nurse infuse?
What will be an ideal response?
When performing the handwashing procedure, keep the hands pointed ____________________.
Fill in the blank(s) with the appropriate word(s).