The nurse is preparing to administer 100 mg of phenytoin (Dilantin) to a patient in status epilepticus. To prevent patient complications, what is the best action by the nurse?
a. Ensure patency of intravenous (IV) line.
b. Mix drug with 0.9% normal saline.
c. Evaluate serum K+ level.
d. Obtain an IV infusion pump.
A
Ensuring a patent IV site prevents complications associated with infiltration of the medication (soft tissue necrosis). Mixing the drug with normal saline prevents crystallization of the medication and would be noticed prior to administration. Evaluating the serum K+ is not required prior to administration. The dose of phenytoin (Dilantin) ordered can be safely administered IV push over 2 minutes and does not require an infusion pump.
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A pacemaker is the treatment of choice for what cardiac dysrhythmia?
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A client is at risk for MODS. In caring for this client, the nurse should place the highest priority on
a. assisting with incentive spirometry. b. hourly monitoring of urinary output. c. maintaining adequate oral intake. d. performing range-of-motion exercises.
The nurse is teaching a mother of a young child with a newly diagnosed seizure disorder. The child is prescribed valproic acid (Depakote) for control of seizures. Which parental statement indicates the need for further education?
1. "I will not use carbonated beverages to dilute his medication." 2. "I will give his medicine on an empty stomach so he will absorb it better." 3. "I will not let him chew his tablet." 4. "I will bring him to the physician's office for regular blood work to check bleeding times."