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Zorluk: KolayPharmacological and Parenteral Therapies

A nurse is preparing to administer a prescribed intravenous (IV) push medication through a client's continuous IV infusion line. Which action is essential for the nurse to perform prior to injecting the medication?

  1. Verify the compatibility of the medication with the primary IV fluid.Cevap
  2. B
    Pause the continuous IV fluid, inject the medication, and immediately resume the fluid without flushing.
  3. C
    Recalculate the prescribed dose based on the client's body surface area before administration.
  4. D
    Lower the head of the bed to a flat, supine position to promote systemic drug distribution.

Cevap

The nurse must verify the compatibility of the medication with the primary IV fluid.
Before administering any IV push medication into an existing continuous infusion, checking the compatibility of the drug with the running fluid is the absolute priority. If the substances are incompatible, they can form precipitates that may cause a fatal embolus. When fluids are incompatible, the nurse must use a different IV site or properly flush the primary line with normal saline both before and after the medication push.

Adım Adım Çözüm

1
Identify the route and method of medication administration.
The medication is to be given via IV push through an active, continuous IV infusion line.
Understanding the route determines the specific safety checks required before administration.
2
Recognize the potential risks of mixing intravenous substances.
Combining an IV push medication with an incompatible continuous IV fluid can cause crystallization or precipitation in the tubing.
Precipitates can enter the client's bloodstream and act as emboli, causing severe tissue damage or life-threatening complications.
3
Determine the highest priority safety action.
The nurse must consult a drug reference guide to verify that the medication and the running IV fluid are physically and chemically compatible.
Checking compatibility is a foundational standard of care that prevents adverse drug-fluid reactions and ensures safe intravenous therapy.

Anahtar Kavram

Intravenous Medication Compatibility
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Konular

Pharmacological and Parenteral Therapies

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