The nurse is caring for a client receiving Phenytoin. Which finding requires action before the medication is given?

Question

Accepted Answer

C. stop the infusion and assess for extravasation — Purple glove syndrome and tissue injury can occur with IV phenytoin extravasation. The infusion should be stopped and the site assessed.

Answer

A. continue the infusion because this is expected

Answer

B. flush the IV rapidly with dextrose solution

Answer

D. slow the infusion and elevate the head of the bed