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Zorluk: KolayPharmacological and Parenteral Therapies

A client admitted with community-acquired pneumonia is receiving a continuous intravenous infusion of 5% dextrose in water. The healthcare provider orders a scheduled dose of intravenous levofloxacin. What is the priority nursing action before attaching the secondary medication to the existing intravenous line?

  1. Confirm that the prescribed antibiotic can be safely mixed with the primary intravenous fluidCevap
  2. B
    Delegate the initial assessment of the intravenous insertion site to the unlicensed assistive personnel
  3. C
    Don an N95 respirator prior to entering the client's room to hang the medication
  4. D
    Attach the secondary infusion directly to the primary line because standard crystalloid fluids are universally compatible with antibiotics

Cevap

Confirm that the prescribed antibiotic can be safely mixed with the primary intravenous fluid
Before administering a secondary intravenous medication, the most critical safety step is to verify that the medication is compatible with the primary continuous infusion. Mixing incompatible medications or fluids can lead to chemical degradation, precipitate formation, and life-threatening complications such as emboli.

Adım Adım Çözüm

1
Identify the clinical task.
The nurse needs to administer an intermittent secondary intravenous medication into a continuous primary line.
Understanding the type of administration dictates the required safety checks.
2
Apply fundamental parenteral safety principles.
The nurse determines that chemical compatibility must be established before two fluids mix in the same tubing.
Mixing incompatible fluids or medications can cause chemical reactions, crystallization, and severe client harm, making verification the highest priority.

Anahtar Kavram

Intravenous Medication Compatibility
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Konular

Pharmacological and Parenteral Therapies

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