Examkin

Soru

Zorluk: KolayPharmacological and Parenteral Therapies

A nurse is administering a prescribed intravenous (IV) push medication into a client's continuous IV infusion line. Immediately after injecting the medication into the Y-site, the nurse observes a cloudy, white precipitate forming in the IV tubing. What is the nurse's immediate priority action?

  1. Stop the infusion and clamp the IV tubing closest to the client.Cevap
  2. B
    Flush the IV tubing rapidly with normal saline to clear the precipitate.
  3. C
    Recalculate the continuous IV fluid drip rate to dilute the medication.
  4. D
    Prioritize assessing the client's airway and breathing before stopping the pump.

Cevap

Stop the infusion and clamp the IV tubing closest to the client.
The correct action is to stop the infusion and clamp the tubing immediately. A cloudy, white precipitate indicates a severe physical drug incompatibility. If this precipitate enters the bloodstream, it can act as an embolus, potentially causing a stroke, pulmonary embolism, or myocardial infarction. Clamping the line closest to the patient ensures the crystallized fluid does not reach the systemic circulation.

Adım Adım Çözüm

1
Identify the clinical complication.
The nurse observes a cloudy, white precipitate forming in the IV tubing after injecting a medication.
Recognizing a physical drug incompatibility is the first step in protecting patient safety.
2
Determine the primary risk to the client.
Precipitate in an IV line acts as a solid object that can enter the bloodstream and cause a fatal pulmonary or systemic embolus.
Understanding the physiological consequence guides the urgency of the intervention.
3
Select the immediate priority intervention.
The nurse must stop the infusion and clamp the tubing closest to the client's insertion site.
Stopping the flow at the closest possible point to the client prevents the harmful precipitate from reaching the systemic circulation.

Anahtar Kavram

Intravenous Medication Incompatibility and Safety
Bu soruyu puanla

Konular

Pharmacological and Parenteral Therapies

Bu konudan daha fazla soru