What might a patient develop if intravenous phenytoin (Dilantin) was administered faster than 50 mg/minute?
1. A severe rash
2. Hypotension
3. Hematologic abnormalities such as agranulocytosis
4. A pronounced increase in heart rate
2
Rationale 1: A severe rash would not immediately occur.
Rationale 2: Phenytoin is administered no faster than 25 to 50 mg/min, because faster administration may result in bradycardia, hypotension, heart block, and ventricular fibrillation.
Rationale 3: Hematologic abnormalities would not occur immediately.
Rationale 4: Bradycardia, heart block, and ventricular fibrillation can occur.
You might also like to view...
The nurse is caring for a client who had abnormal hair growth as a side effect of medical treatment. Which term will the nurse use when documenting this side effect?
1. Alopecia 2. Hirsutism 3. Pediculosis 4. Scabies
An 89-year-old man, who was recently discharged from a rehabilitation hospital because of an inability to concentrate and frequent memory lapses, cannot be left alone while his family works
What options should the discharge planning team suggest that will satisfy safety concerns and give the greatest quality of life to the patient? a. Placement in a day care center from 8 AM to 5 PM daily b. Placement in a long-term psychiatric fa-cility c. Placement in a high-security nursing home d. Admission to a general hospital for evalu-ation
The student nurse is preparing a care plan for an assigned client. The student correctly recognizes that the nursing diagnosis is composed of which of the following elements? Standard Text: Select all that apply
1. Medical diagnosis 2. Risk or related factors 3. Defining characteristics 4. A diagnostic label 5. A definition
A patient has a decrease in calcium. Which receptor will be stimulated to increase the intracellular concentration of calcium?
A) Acetylcholine B) Muscarinic C) Beta adrenergic D) Nicotinic