2024 PN NCLEX Questions Nursing Practice Question
A client has a 10 % dextrose in water IV solution running. He is scheduled to receive his antiepileptic drug, phenytoin (Dilantin), at this time. The nurse knows that the phenytoin:
Correct Answer: D
Rationale: Phenytoin is known to be incompatible with dextrose solutions, which can lead to precipitation and reduced efficacy. Therefore, administering it with D10W is not advisable.
Option A suggests waiting until the D10W is finished, which is a safe practice but does not address the incompatibility.
Option B implies that phenytoin can be given through the medication port closest to the client, which overlooks the critical issue of incompatibility.
Option C incorrectly suggests that phenytoin can be piggybacked with D10W, directly contradicting established guidelines regarding its administration.