NCLEX

The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the following statements by the patient’s mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy? A. “She is very irritable lately.” B. “She sleeps quite a bit of the time.” C. “Her gums look too big for her teeth.” D. “She has gained about 10 pounds in the last 6 months.” Answer C: Hyperplasia of the gums is associated with Dilantin therap...

NCLEX FINAL EXIT EXAM 2023 Cardiac A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure? Metformin A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL/hour for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for the sub...

IM meds - - quickly absorbed, 90 degree angle, 19-23 G needle, 1-2" length, average adult:11/2, 22G, mandatory to aspirate, purpose is to deposit meds into deep muscle for quick absorption -deltoid muscle - - only used for 1-2 ml of med b/c is smaller muscle -quickest absorption - - #1 is abdomen, #2 is arm, #3 is buttock -Insulin - - done sub-q into fatty tissue, measured in Units, draw up air prior and insert into vial -Regular insulin - - onset:15-30 mins, clear, peak:30-11/2...

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