Free NCLEX-RN Exam Braindumps (page: 214)

Page 214 of 431

The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenytoin can only be mixed with which of the following solutions?

  1. Ringer's lactate
  2. D5 in water
  3. D5 with Ringer's lactate
  4. Normal saline

Answer(s): D

Explanation:

(A) Phenytoin will precipitate if mixed with Ringer's lactate and should not be administered. (B, C) Phenytoin will precipitate if mixed with D5 in Ringer's lactate and should not be administered. (D) Phenytoin is compatible only with normal saline and should be mixed only with normal saline for administration.



The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenytoin can only be mixed with which of the following solutions?

  1. Ringer's lactate
  2. D5 in water
  3. D5 with Ringer's lactate
  4. Normal saline

Answer(s): D

Explanation:

(A) Phenytoin will precipitate if mixed with Ringer's lactate and should not be administered. (B, C) Phenytoin will precipitate if mixed with D5 in Ringer's lactate and should not be administered. (D) Phenytoin is compatible only with normal saline and should be mixed only with normal saline for administration.



A client is hyperactive and not sleeping. She will not remain at the table during mealtime. She is getting very limited calories and is using a lot of energy in her hyperactive state. The most therapeutic nursing action is to:

  1. Insist that she remain at the table and eat a balanced diet.
  2. Order a high-calorie diet with supplements.
  3. Provide nutritious finger foods several times a day.
  4. Offer to go to the dining room with her and allow her to open the food and inspect what she eats.

Answer(s): C

Explanation:

(A) The client is not able to sit for long periods. Forcing her to remain at the table will increase her anxiety and cause her to become hostile. (B) This action will not ensure that the client eats what is ordered. Dietary orders are not within the nurse's scope of practice. (C) Providing finger foods increases the likelihood of eating for hyperactive persons. They may be eating "on the run." (D) These clients are not suspicious of the food or insecure in moving about the unit alone.



A client is hyperactive and not sleeping. She will not remain at the table during mealtime. She is getting very limited calories and is using a lot of energy in her hyperactive state. The most therapeutic nursing action is to:

  1. Insist that she remain at the table and eat a balanced diet.
  2. Order a high-calorie diet with supplements.
  3. Provide nutritious finger foods several times a day.
  4. Offer to go to the dining room with her and allow her to open the food and inspect what she eats.

Answer(s): C

Explanation:

(A) The client is not able to sit for long periods. Forcing her to remain at the table will increase her anxiety and cause her to become hostile. (B) This action will not ensure that the client eats what is ordered. Dietary orders are not within the nurse's scope of practice. (C) Providing finger foods increases the likelihood of eating for hyperactive persons. They may be eating "on the run." (D) These clients are not suspicious of the food or insecure in moving about the unit alone.



Page 214 of 431



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