Examkin

Soru

Zorluk: KolayPharmacological and Parenteral Therapies

A nurse is preparing to administer an intermittent intravenous (IV) secondary medication (piggyback) to a client who has a continuous primary IV infusion of 0.9%0.9\% sodium chloride. Which of the following actions should the nurse take to ensure safe administration? Select all that apply.

  1. Verify the compatibility of the secondary medication with the primary 0.9%0.9\% sodium chloride infusion using a drug reference guide.Cevap
  2. Assess the intravenous insertion site for signs of infiltration, redness, or swelling before initiating the secondary infusion.Cevap
  3. Position the secondary medication bag higher than the primary intravenous fluid bag on the IV pole.Cevap
  4. D
    Estimate the infusion rate manually without calculating the specific drops per minute or setting the infusion pump.
  5. E
    Administer the medication through the same line as an incompatible primary fluid by briefly pausing the primary infusion.

Cevap

The correct actions include verifying medication compatibility, assessing the intravenous insertion site prior to administration, and positioning the secondary medication bag higher than the primary fluid bag.
Safe administration of a secondary IV medication requires verifying compatibility to prevent adverse chemical reactions, assessing the IV site to confirm patency and prevent tissue damage, and hanging the secondary bag higher than the primary bag so that gravity allows it to infuse first.

Adım Adım Çözüm

1
Evaluate the need for compatibility verification.
Identified as a necessary safety action.
Mixing incompatible medications can cause crystallization or chemical changes in the IV tubing, which poses a severe risk to the client.
2
Evaluate the necessity of IV site assessment.
Identified as a necessary pre-administration action.
Ensuring IV patency prevents complications like infiltration, phlebitis, and tissue necrosis.
3
Evaluate the correct physical setup for a secondary (piggyback) infusion.
Identified that the secondary bag must be hung higher than the primary bag.
Gravity dictates that the fluid in the highest bag will infuse first, which is the intended mechanism for a piggyback setup.
4
Evaluate the safety of estimating infusion rates.
Identified as an unsafe practice.
Precise dosage calculations and rate control are required to ensure patient safety and prevent speed shock.
5
Evaluate the procedure for handling incompatible fluids.
Identified as an unsafe practice to simply pause the primary infusion without flushing.
The line must be flushed with a compatible solution, or a new line must be established, to completely prevent the mixing of incompatible substances.

Anahtar Kavram

Safe Intravenous Medication Administration and Piggyback Setup
Bu soruyu puanla

Konular

Pharmacological and Parenteral Therapies

Bu konudan daha fazla soru