Pharmacology > QUESTIONS & ANSWERS > PHARMACOLOGY AND MEDIC QUESTIONS WITH CORRECT ANSWERS|GRADED A (All)
What is the nurse's priority action when administering phenytoin to a client intravenously? Administer rapidly Withhold other anticonvulsants Mix phenytoin with saline solution only Use only ... dextrose solution when flushing the IV catheter Correct Answer Mix phenytoin with saline solution only Phenytoin is only compatible with saline solutions. Dextrose will cause an insoluble precipitate to form. Phenytoin should be administered at a rate of less than 50 mg/min. There is no need to withhold additional anticonvulsants. The nurse is admitting a client diagnosed with diabetic ketoacidosis (DKA). What is the nurse's priority intervention? Correct Answer Rationale A client with DKA should receive IV insulin to lower glucose and IV fluids to correct hypotension. Glucagon is given to treat hypoglycemia and is not appropriate for DKA. Blood products aren't needed to correct DKA. Glucocorticoids are not used to treat DKA, and may aggravate the hyperglycemia. The effectiveness of selective serotonin reuptake inhibitor (SSRIs) therapy, in a client with post-traumatic stress disorder (PTSD), can be verified when the client states: "I'm sleeping better now." "I'm not losing my temper." "I've lost my craving for alcohol." "I've lost my phobia for water." Correct Answer "I'm sleeping better now." Selective serotonin reuptake inhibitors are used to treat sleep problems, nightmares, and intrusive thoughts in individuals with PTSD. Selective serotonin reuptake inhibitors are not used to control flashbacks, to treat a specific phobia, or to decrease the craving for alcohol. A client calls the clinic worried about experiencing new symptoms after taking antipsychotic medicine. The client reports persistent, uncontrollable restlessness of the limbs and head despite improvement in psychotic symptoms. What is the most appropriate intervention by the nurse? Inform the client to ignore these symptoms because they will go away Advise the client to experiment with different dosages to see how he feels Tell the client to go to the emergency room if blurred vision or fever develops [Show More]
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