The Physician Has Ordered Intravenous (IV) Phenytoin (Dilantin)

question 30

Multiple Choice

The physician has ordered intravenous (IV) phenytoin (Dilantin) . The nurse does not read the drug label and administers the medication intramuscularly (IM) . What is the most likely response in the patient?

• A) Local tissue damage following extravasation will most likely occur.
• B) A phenomenon known as purple gluteus syndrome will most likely occur.
• C) A marked decrease in serum glucose levels will most likely occur.
• D) Nothing adverse, the medication may be administered intravenously (IV) or intramuscularly (IM).

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Definitions:

Reality Therapy

A form of therapy focusing on personal responsibility and focusing on the present rather than the past to solve current problems.

Cognitive

Pertaining to mental processes such as thinking, reasoning, memory, and problem-solving.

Existential Therapies

A group of psychotherapies that focus on individual freedom, choice, and responsibility, encouraging self-exploration and finding meaning.

Failure Identity

The self-perception that one has the identity of a failure, often resulting from repeated setbacks or criticism.