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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 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.
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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.
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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
3. Control fluid and electrolyte imbalance
4. Remove the precipitating irritants
2. Correct: In clients with pancreatitis, the pancreatic enzymes cannot exit the pancreas.
These enzymes, when activated, begin to digest the pancreas itself. The enzymes become
activated in the pancreas when fluid or food accumulates in the stomach. The goal in
treating this client is to stop the activation of the pancreatic enzymes. Treatment is focused
on keeping the stomach empty and dry. This allows the pancreas time to rest and heal. Note:
Autodigestion (pancreas digesting itself) is painful for the client and can lead to other
problems such as bleeding.
1. Incorrect: The primary purpose of the NG tube to suction is to keep the stomach empty
and dry to decrease pancreatic enzyme production, not to relieve nausea.
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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 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.
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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.
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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
3. Control fluid and electrolyte imbalance
4. Remove the precipitating irritants
2. Correct: In clients with pancreatitis, the pancreatic enzymes cannot exit the pancreas.
These enzymes, when activated, begin to digest the pancreas itself. The enzymes become
activated in the pancreas when fluid or food accumulates in the stomach. The goal in
treating this client is to stop the activation of the pancreatic enzymes. Treatment is focused
on keeping the stomach empty and dry. This allows the pancreas time to rest and heal. Note:
Autodigestion (pancreas digesting itself) is painful for the client and can lead to other
problems such as bleeding.
1. Incorrect: The primary purpose of the NG tube to suction is to keep the stomach empty
and dry to decrease pancreatic enzyme production, not to relieve nausea.
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