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Zorluk: KolayPharmacological and Parenteral Therapies

A client hospitalized with a bacterial infection has a continuous peripheral intravenous (IV) infusion of normal saline. The healthcare provider prescribes a scheduled dose of IV ciprofloxacin. Which safety check is the most critical for the nurse to perform before connecting the new medication to the primary line?

  1. A
    Administer the medication immediately as long as the peripheral site is patent and pain-free.
  2. B
    Convert the prescribed dosage into micrograms to double-check the calculated delivery rate.
  3. Verify that the prescribed antibiotic is physically compatible with the running normal saline.Cevap
  4. D
    Assign the unlicensed assistive personnel (UAP) to monitor the client for the first 15 minutes of the infusion.

Cevap

Verify that the prescribed antibiotic is physically compatible with the running normal saline.
Before attaching any secondary medication to a primary intravenous line, the nurse must consult a drug reference guide or pharmacist to ensure the substances are physically and chemically compatible. Failure to do so can result in precipitation within the tubing, which can block the catheter or enter the client's bloodstream.

Adım Adım Çözüm

1
Identify the proposed procedure
The nurse needs to administer a secondary IV medication into an existing primary continuous IV line.
Understanding the route helps identify the associated risks, such as drug-drug interactions within the tubing.
2
Determine the highest priority safety check
Checking the compatibility of the two fluids is required.
Mixing incompatible intravenous fluids or medications can cause crystallization or precipitation in the tubing, posing a life-threatening risk to the client.

Anahtar Kavram

Intravenous Medication Compatibility
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Konular

Pharmacological and Parenteral Therapies

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