A client who is n.p.o. is prescribed IV phenytoin. When preparing the equipment to administer this dose, the nurse should:
a. hang an IV bag of 5% dextrose and prime the IV tubing.
b. hang an IV bag of 0.9% normal saline and prime the IV tubing.
c. notify the health care provider prior to drug administration.
d. prepare a volumetric infusion pump to infusion the IV fluids and phenytoin.
ANS: B
Feedback
A Incorrect: Phenytoin should never be administered with dextrose fluids, as it will cause precipitation in the IV line.
B Correct: Phenytoin is administered IV bolus with a free-flowing normal saline infusion to prevent phenytoin-related phlebitis.
C Incorrect: This is not a necessary action, because the IV route is needed if the client is n.p.o.
D Incorrect: Phenytoin and the normal saline infusion should not be administered on a volumetric pump, but rather IV bolus with a free-flowing normal saline infusion.
You might also like to view...
A community health nurse is evaluating the current health programs in the community. Which of these outcomes would indicate a healthy community?
1) Ninety percent of members report adequate access to primary care services. 2) Immunization services are available at hospitals and clinics. 3) Affordable housing in the community is under construction. 4) Mortality rates have been stable over the past 5 years.
Servant approach is about
a. Service and influence b. Influence and skill development c. Service and authoritarianism d. Adaptive and influential leadership
Malignant pain may be related to HIV/AIDS, burns, or other disease processes.
A. Acute Pain B. Chronic Pain C. Cancer Pain
In reviewing the patient's record, the nurse notes that the patient has air in the subcutaneous tissue. The nurse validates that this patient has crepitus with which finding?
a. Asymmetric expansion of the chest wall on inhalation b. Increased transmission of vocal vibrations on auscultation c. Crackling sensation under the skin of the chest on palpation d. Coarse grating sounds heard over the mediastinum on inspiration