ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to administer phenytoin 50 mg IV bolus to a client who has a seizure disorder. The medication is supplied as a 50 mg/mL vial. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the medication over 1 minute. Phenytoin is known to cause local irritation and can lead to serious adverse effects such as hypotension and cardiac arrhythmias if administered too rapidly. By administering it over 1 minute, the nurse can minimize the risk of these adverse effects.
Choice B is incorrect because diluting phenytoin can alter its pharmacokinetics and increase the risk of adverse effects.
Choice C is incorrect because slowing the injection if crystallization occurs can lead to inaccurate dosing and ineffective treatment.
Choice D is incorrect as following the injection with sterile water is unnecessary and does not contribute to the safe administration of phenytoin.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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