questions:

Question 1

which nursing actions are appropriate for a nurse preparing to administer phenytoin via a nasogastric tube? SATA

Answer 1

• HOLD TUBE FEEDINGS FOR AT LEAST 1 HOUR PRIOR TO ADMINISTRATION
• FLUSH THE NASOGASTRIC TIBE WITH 30 ml TAP WATER before and after administration
• MONITOR LIVER FUNCTION TESTS ON A REGULAR BASIS FOR PATIENT TAKING PHENYTOIN

Question 2

Which adverse effects of phenytoin should the nurse immediately report to the provider? SATA

Answer 2

1New reports of feeling “unsteady” when ambulating

• the appearance of a new rash on the patients chest
• reports of feeling hopeless and apathetic
• a Morning phenytoin level of 26
• difficulty forming words or sentences

Question 3

the healthcare provider has prescribed 4 mg succinylcholine to be administered IV Push during a rapid sequence intubation. which is the nurse’s priority action when preparing to administer the medication?

Answer 3

ask the patient about history of alcohol abuse

what kills the fastest?
malignant hyperthermia
so even though we do give a benzo like midazolam we do not do this before screening for the deadly adverse effect pf malignant hyperthermia.

Question 4

which instruction should the nurse include in the plan of care for a patient newly prescribed carbidopa-levodopa for the treatment of Parkinson’s disEASE? SATA

Answer 4

• when going from a sitting to a standing position be sure to change your position slowly.
• it is a good idea to remove any clutter in your home that could cause you to trip and fall.
• avoid eating meals that contain large amounts of protein while taking these medications.