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Zorluk: KolayReduction of Risk Potential

A nurse is preparing to administer a new intravenous (IV) push medication to a client who is already receiving a continuous IV fluid infusion. To ensure client safety and reduce the risk of an adverse event, which action must the nurse take before administering the medication?

  1. Check a medication reference to confirm that the IV push medication is compatible with the continuous IV fluid.Cevap
  2. B
    Administer the IV push medication rapidly into the port closest to the client to minimize mixing time.
  3. C
    Delegate the task of verifying the medication's compatibility to the unlicensed assistive personnel (UAP).
  4. D
    Perform a complete physical assessment after the medication has been fully administered rather than before.

Cevap

The nurse must verify the compatibility of the IV push medication with the continuous IV fluid using a reliable reference.
When two or more intravenous medications or fluids are administered through the same IV line, the nurse must ensure they are chemically and physically compatible. Incompatibility can result in precipitation, cloudiness, or a change in color, which can lead to life-threatening complications such as an embolism or loss of medication efficacy.

Adım Adım Çözüm

1
Identify the proposed clinical intervention.
The nurse is planning to administer an IV push medication through a line that is currently infusing a continuous IV fluid.
Understanding the route and the presence of concurrent therapies highlights potential interaction risks.
2
Recognize the physiological risks associated with mixing multiple IV solutions.
Mixing incompatible intravenous medications or fluids can cause crystallization, precipitation, or inactivation of the drugs.
Identifying the specific physiological risk guides the choice of the appropriate safety intervention.
3
Select the priority nursing action that mitigates this risk.
The nurse must consult a drug reference guide or pharmacist to verify compatibility before administration.
This is a fundamental safety check required to prevent harm to the client and maintain IV line patency.

Anahtar Kavram

Reduction of Risk Potential: Intravenous Medication Safety
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