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HNLXRJAY HNLXRJAY
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6 years ago
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.
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#1
6 years ago
ANS: B

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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.
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