Question

Difficulty: EasyPharmacological and Parenteral Therapies

A nurse is reviewing safety protocols for the administration of intravenous (IV) medications and continuous infusions. Which of the following practices should the nurse implement to ensure client safety? Select all that apply.

  1. Verify the compatibility of a secondary IV medication with the primary IV fluid prior to administration.Answer
  2. Flush the IV catheter with normal saline before and after giving an intermittent IV push medication.Answer
  3. C
    Delegate the connection of a new bag of continuous IV fluids to the unlicensed assistive personnel (UAP).
  4. D
    Administer an IV push medication into a continuous infusion line without verifying compatibility if both fluids appear clear.
  5. E
    Perform weight-based IV medication calculations using the client's weight in pounds instead of converting to kilograms.
  6. Utilize an electronic infusion pump when administering high-alert medications that require a strictly controlled flow rate.Answer

Answer

The correct practices are verifying IV compatibility, flushing the IV line before and after push medications, and utilizing an electronic infusion pump for high-alert medications.
Verifying compatibility, flushing lines, and using infusion pumps for high-alert medications are foundational safety standards in parenteral therapy. These actions prevent drug incompatibilities, ensure complete and safe dose administration, and maintain accurate delivery rates.

Step-by-Step Solution

1
Review the basic principles of safe parenteral medication administration and delegation.
Identify that the registered nurse is responsible for verifying compatibility, calculating doses correctly, and maintaining precise flow rates.
These principles form the foundation of parenteral therapy safety and scope of practice.
2
Evaluate each option against established safety protocols.
Determine that delegation to UAP, assuming clear fluids are compatible, and using pounds for weight-based calculations are unsafe practices.
Eliminating unsafe actions ensures the selection of only correct, evidence-based nursing interventions.

Key Concept

Safe Intravenous Medication Administration
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