The nurse is caring for an adult client receiving continuous ...

[burchfield96]

The nurse is caring for an adult client receiving continuous enteral feedings who is prescribed phenytoin per nasogastric tube. The nurse should:
 
  a. collaborate with the health care provider to change the route of administration of phenytoin to IV.
  b. discontinue the enteral feeding 90 minutes before and after administering the phenytoin.
  c. stop the enteral feeding, flush the nasogastric tube with normal saline, administer phenytoin, then flush tube with normal saline, restart feeding.
  d. dilute the phenytoin and administer it concurrently with the enteral feeding at a decreased rate of infusion.

Question 2

When administering IV bolus phenytoin to an infant, the nurse must use:
 
  a. a scalp vein IV access. c. a central venous access device.
  b. an antecubital IV access. d. a brachial artery catheter.

[sailorcrescent]

Answer to Question 1

ANS: B

Feedback
A Incorrect: This is not an appropriate nursing response in this situation.
B Correct: The enteral feeding should be stopped one to two hours before and after phenytoin enteral administration, because enteral feedings decrease the absorption of phenytoin.
C Incorrect: This is not an appropriate nursing action. In addition, nasogastric tubes for enteral feedings are flushed with tap water, not normal saline.
D Incorrect: This is not an appropriate nursing action.

Answer to Question 2

ANS: C

Feedback
A Incorrect: Because of the high risk of phlebitis with IV phenytoin, peripheral IV accesses should not be used.
B Incorrect: A peripheral IV access should not be used.
C Correct: A central venous access device should be used.
D Incorrect: This is an arterial, not a venous access.

[burchfield96]

Excellent

[juliaf]

Great answer, keep it coming