Examkin

Soru

Zorluk: KolayPharmacological and Parenteral Therapies

A nurse is preparing to administer a prescribed intravenous (IV) push medication through a client's existing continuous IV fluid infusion. Which action should the nurse take first to ensure client safety?

  1. Verify the compatibility of the medication with the primary IV fluid.Cevap
  2. B
    Delegate pausing the IV infusion pump to an unlicensed assistive personnel (UAP).
  3. C
    Administer the medication rapidly to minimize contact time with the primary fluid.
  4. D
    Calculate the client's 24-hour total fluid intake volume.

Cevap

Verify the compatibility of the medication with the primary IV fluid.
Before administering any IV medication into an existing line, the nurse must verify that the medication is compatible with the running continuous IV fluid. If the substances are incompatible, they can form precipitates or crystalize in the tubing, which can act as emboli and cause severe harm to the client. If they are incompatible, the nurse must stop the fluid and flush the line thoroughly with normal saline before and after drug administration.

Adım Adım Çözüm

1
Identify the clinical scenario
The nurse needs to administer an IV push medication into an existing continuous IV line.
Understanding the route and concurrent therapies determines the safety steps required.
2
Determine the highest risk associated with this specific procedure
Mixing two different intravenous substances carries a high risk of chemical or physical incompatibility.
Incompatibility can lead to crystal formation in the tubing, emboli in the client, or neutralization of the drug's therapeutic effect.
3
Select the priority intervention based on the identified risk
The nurse must verify compatibility in a drug reference guide or with the pharmacy before proceeding.
Preventing the administration of incompatible fluids is the most critical step to ensure physiological integrity.

Anahtar Kavram

Intravenous Medication Compatibility and Safety
Tahmini Süre:45s
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Konular

Pharmacological and Parenteral Therapies

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