When preparing to administer fosphenytoin sodium to an adult, the ...

[Caiter2013]

When preparing to administer fosphenytoin sodium to an adult, the nurse understands that too rapid intravenous administration of fosphenytoin sodium can cause:
 
  a. a respiratory rate of 10.
  b. a pulse rate less than 60.
  c. blood pressure greater than 140/90.
  d. a temperature greater than 99 degrees F.

Question 2

A nurse is teaching a client taking carbamazepine about what action he should take related to his serum drug level. Which of the following would indicate client understanding of the instruction for a serum carbamazepine level of 11 mcg/L?
 
  a. I would notify my doctor right away.
  b. I will plan to take my next dose as usual.
  c. I should expect my doctor to call the pharmacy for a higher dose of my medicine.
  d. I will double up on my next dose and then go back to my regular dose.

[polinasid]

Answer to Question 1

ANS: B

Feedback
A Incorrect: The major concern is not respiratory depression.
B Correct: It can cause bradycardia.
C Incorrect: The major concern is not hypertension.
D Incorrect: The major concern is not a slight temperature elevation.

Answer to Question 2

ANS: B

Feedback
A Incorrect: Because the drug level is within defined limits, he doesn't need to notify his health care provider right away.
B Correct: The normal level for carbamazepine is 4-12 mcg/mL, so his level is normal and he should plan to continue his medication at its present dose.
C Incorrect: This indicates further teaching is needed.
D Incorrect: This indicates further teaching is needed.

[Caiter2013]

TY

[polinasid]

You're welcome