A client who is n.p.o. is prescribed IV phenytoin. When preparing ...

[moongchi]

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.

Question 2

When teaching a client prescribed phenytoin about a common adverse effect of this drug, the nurse should instruct the client to:
 
  a. avoid foods preserved in sodium.
  b. practice good oral hygiene.
  c. use hair replacement products sold OTC.
  d. avoid oral contraceptives

[iceage]

Answer to Question 1

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.

Answer to Question 2

ANS: B

Feedback
A Incorrect: Phenytoin does not cause sodium or fluid retention.
B Correct: Gingival hyperplasia is an adverse effect of phenytoin and occurs most often in children.
C Incorrect: Phenytoin does not cause alopecia, but rather may increase hair growth.
D Incorrect: The dosages of oral contraceptives may need to be increased, but are not contraindicated concurrent with the use of phenytoin.

[moongchi]

Excellent

[gcook]

Great answer, keep it coming