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Soru

Zorluk: KolayPharmacological and Parenteral Therapies

A nurse is preparing to administer a scheduled intravenous (IV) antibiotic via a secondary line. The client currently has a continuous primary IV infusion of 0.45% sodium chloride with 20 mEq of potassium chloride running. Which action must the nurse prioritize before attaching the secondary tubing to the primary IV line?

  1. Verify the chemical compatibility of the antibiotic with the primary infusion solution.Cevap
  2. B
    Visually inspect the antibiotic solution for cloudiness and immediately connect it to the line.
  3. C
    Calculate the exact completion time for the total 24-hour fluid volume.
  4. D
    Obtain a complete set of vital signs to establish a baseline for the shift.

Cevap

Verify the chemical compatibility of the antibiotic with the primary infusion solution.
The most critical safety action before administering a secondary IV medication into a continuous primary line is verifying physical and chemical compatibility. If the solutions are incompatible, they can form a precipitate in the tubing, which can cause severe harm to the client, including embolism.

Adım Adım Çözüm

1
Identify the proposed clinical intervention.
The nurse is adding a secondary IV medication to an actively running primary continuous infusion.
To determine the potential risks involved with the procedure.
2
Recognize the primary physiological safety risk associated with the intervention.
Mixing two incompatible IV solutions can cause precipitation (crystal formation) in the IV tubing.
Precipitates can lead to catheter occlusion or life-threatening emboli if they enter the client's bloodstream.
3
Select the correct preventative nursing action.
The nurse must consult an approved drug reference guide to verify Y-site compatibility before making the connection.
This guarantees that the medication can safely mix with the primary fluid without an adverse chemical reaction.

Anahtar Kavram

Intravenous Medication Compatibility
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Konular

Pharmacological and Parenteral Therapies

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