Examkin

Question

Difficulty: EasyPharmacological and Parenteral Therapies

A nurse is preparing to administer a prescribed dose of intravenous (IV) furosemide via direct IV push into a client's continuous peripheral infusion of 5% dextrose in water (D5W). Which of the following actions indicate safe medication administration? (Select all that apply)

  1. Verify that furosemide is compatible with the continuous 5% dextrose in water (D5W) infusion before administration.Answer
  2. Administer the furosemide slowly over 1 to 2 minutes to reduce the risk of adverse effects.Answer
  3. Pinch the primary IV tubing immediately above the injection port while actively pushing the medication.Answer
  4. D
    Bypass the compatibility check since 5% dextrose in water (D5W) is universally compatible with all IV medications.
  5. E
    Administer the entire contents of the furosemide vial without calculating the specific volume required for the prescribed dose.

Answer

The correct actions are verifying compatibility with the primary fluid, administering the medication slowly over 1 to 2 minutes, and pinching the tubing above the port while pushing.
Safe IV push administration requires verifying compatibility to prevent line precipitation, calculating exact dosages, administering the drug at the recommended safe rate (slowly for furosemide to prevent ototoxicity), and using proper technique such as pinching the tubing above the port so the medication flows directly into the patient.

Step-by-Step Solution

1
Identify the type of medication administration being performed.
The nurse is administering a direct IV push medication into an existing continuous IV line.
Understanding the route determines the specific safety protocols required.
2
Determine the necessary pre-administration safety checks.
The nurse must calculate the correct dose volume and verify that furosemide is compatible with D5W.
Calculations prevent overdose, and compatibility checks prevent chemical precipitation in the IV line.
3
Identify correct physical administration techniques for an IV push.
The medication should be pushed slowly, and the primary tubing must be pinched above the injection port.
Slow administration prevents adverse effects (like ototoxicity for furosemide), and pinching the tubing ensures the medication goes to the patient.

Key Concept

Safe Intravenous Push (IVP) Administration Principles
Rate this question

Topics

Pharmacological and Parenteral Therapies

More questions from this topic