The primary healthcare provider has prescribed phenytoin 100 mg intravenous push (IVP) stat for an
adult client. What is the least amount of time that
... [Show More] the nurse can safely administer this medication?
1. 1 minute
2. 2 minutes
3. 5 minutes
4. 10 minutes
2. Correct: The rate of IV administration should not exceed 50 mg/min. for adults and 1-3 mg/kg/min (or
50 mg/min, whichever is slower) in pediatric clients because of the risk of severe hypotension and
cardiac arrhythmias. So 100 mg can safely be delivered over a period of at least 2 minutes.
1. Incorrect: The rate of IV administration should not exceed 50 mg/min. for adults and 1-3 mg/kg/min
(or 50 mg/min, whichever is slower) in pediatric clients because of the risk of severe hypotension and
cardiac arrhythmias. So 100 mg can safely be delivered over a period of at least 2 minutes. Giving this
dose over only one minute could lead to these or other potential harmful effects.
3. Incorrect: The rate of IV administration should not exceed 50 mg/min. for adults and 1-3 mg/kg/min
(or 50 mg/min, whichever is slower) in pediatric clients because of the risk of severe hypotension and
cardiac arrhythmias. So 100 mg can safely be delivered over a period of at least 2 minutes. Five minutes
would be longer than required to be able to safely administer the medication.
4. Incorrect: The rate of IV administration should not exceed 50 mg/min. for adults and 1-3 mg/kg/min
(or 50 mg/min, whichever is slower) in pediatric clients because of the risk of severe hypotension and
cardiac arrhythmias. So 100 mg can safely be delivered over a period of at least 2 minutes. Ten minutes
is much longer than required to be able to safely administer the medication.
A client, hospitalized with possible acute pancreatitis secondary to chronic cholecystitis, has severe
abdominal pain and nausea. The client is kept NPO, an NG tube is inserted, and IV fluids are being
administered. What is the rationale for the client being NPO with an NG tube to low suction?
1. Relieve nausea
2. Reduce pancreatic secretions [Show Less]