A registered nurse is caring for a client who is receiving a continuous maintenance intravenous (IV) fluid through a peripheral catheter. The provider prescribes a new intermittent IV antibiotic to be administered via the existing line. Which of the following safety measures must the nurse implement? Select all that apply.
- Verify the compatibility of the antibiotic with the continuous maintenance fluid using an approved reference.Answer
- Inspect and palpate the peripheral insertion site for signs of infiltration or phlebitis prior to the infusion.Answer
- Scrub the needleless connection port on the primary tubing with an antiseptic wipe before attaching the secondary line.Answer
- DDetermine that the solutions are compatible as long as no cloudiness or precipitate is visible in the tubing.
- EDelegate the initial monitoring for adverse infusion reactions to the unlicensed assistive personnel (UAP).
Answer
The nurse must verify fluid compatibility with a reference, assess the IV site for complications, and scrub the connection port with an antiseptic wipe.
Safe intravenous administration of a secondary medication requires the nurse to consult an approved reference to confirm compatibility, physically assess the insertion site to ensure patency and absence of complications, and maintain asepsis by scrubbing the connection hub. These foundational steps prevent chemical incompatibilities, extravasation, and catheter-related bloodstream infections.
Step-by-Step Solution
Key Concept
Safe Intravenous Medication Administration Principles