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Zorluk: KolayPharmacological and Parenteral Therapies

A hospitalized client is receiving an ongoing continuous intravenous (IV) drip of 0.9% sodium chloride. The healthcare provider orders a single dose of an IV analgesic to manage the client's acute pain. What is the most critical action for the nurse to perform immediately before injecting the analgesic into the existing IV line?

  1. A
    Deliver the analgesic directly through the port closest to the client without pausing the maintenance drip.
  2. B
    Recalculate the drip rate of the sodium chloride to ensure it infuses faster than the analgesic.
  3. Check a reliable drug reference to ensure the analgesic and the sodium chloride solution can be safely mixed.Cevap
  4. D
    Instruct the client to lie completely flat to maximize the circulatory distribution of the analgesic.

Cevap

Check a reliable drug reference to ensure the analgesic and the sodium chloride solution can be safely mixed.
Before administering any intravenous medication into an existing continuous infusion, the nurse must confirm that the two substances are physically and chemically compatible. This prevents the formation of precipitates, which can occlude the catheter or cause an embolism.

Adım Adım Çözüm

1
Identify the primary clinical task.
The nurse needs to administer an IV push medication into an active continuous IV line.
Understanding the exact route and current IV setup is the first step in ensuring patient safety.
2
Determine the highest priority safety requirement for IV push administration.
The nurse must verify that the two fluids will not cause an adverse chemical reaction or precipitate when mixed in the IV tubing.
Incompatible IV fluids can form solid particles that act as emboli, posing a life-threatening risk to the client.
3
Select the correct nursing intervention.
Consulting a compatibility chart or drug reference is required before injecting the medication.
This action directly prevents the administration of incompatible substances into the same line.

Anahtar Kavram

Intravenous Medication Compatibility
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Konular

Pharmacological and Parenteral Therapies

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