When preparing the intravenous solution and administration s
When preparing the intravenous solution and administration set, the… When preparing the intravenous solution and administration set, the protective cover from the IV solution container (bag) port and the protective cover from the spike on the IV administration set (tubing) are removed. Both the IV solution container port and the spike on the IV administration set need to remain _______________ prior to placing the spike into the port. a.moist b.sterile c.upright d.inverted 0.5 points 2When administering an IV Push through a running primary IV line, the nurse: a.Administers the medication via the IV tubing injection port closest to the patient. b.Injects the medication via the IV additive port on the bag after cleansing with an antimicrobial swab. c.Removes the IV tubing spike from the IV solution container and injects the medication via the spike port on the IV bag. d.Disconnects the IV tubing from the IV cannula and injects the medication directly into the IV cannula, after checking for a blood return. 0.5 points 3When using a secondary piggyback set to administer medications by intermittent infusion, the primary IV container (bag) should hang ____________ the level of the secondary piggyback IV container. a.above b.below 0.5 points 4Identify the correct steps in order when administering a medication through a peripheral IV.Flush with normal saline Pull back on syringe to assess patency (blood return) Administer medication Check medication for compatibility Flush with normal saline Assess IV site for signs of phlebitis and infiltration 1 points 5The nurse is preparing to give a patient IV push medication through a saline lock. Which actions by the nurse are most appropriate? (Select all that apply.) a.Clean the access port for at least 30 seconds b.Use an antimicrobial agent when cleaning the port c.Rinse the antimicrobial agent off with saline d.Clean the access port for at least 10 seconds e.Administer a normal saline flush before medication f.Administer medication immediately after cleaning 1 points 6The nurse is preparing to administer a medication IV push. What information does the nurse need to know before beginning the infusion? (Select all that apply.) a.Any dilution required b.Rate of administration c.Compatibility with infusions d.Other routes of administration e.Specific monitoring needed 1 points 7When adding medication to an IV fluid bag or bottle, the nurse should mix the intravenous solution and medication by: vigorously shaking the bag vertically gently turning the bag from end to end gently swirling the bag in a circular motion rotating the bag between the palm of the hands 1 points 8 The most appropriate action by the nurse upon observing that a container of total parenteral nutrition (TPN) solution has been infusing for almost 24 hours but is not yet empty is to? Increase the flow rate to complete the infusion in 24 hours. Hang a new container of solution with new tubing at 24 hours. Change the tubing on the container and allow the remaining solution to infuse. Allow the remaining solution to run at the prescribed rate until the container is empty. 1 points 9Total parenteral nutrition (TPN) with a peripherally inserted central (PIC) catheter is initiated for a patient who has tar burns and multiple fractures from a roofing accident. After 6 hours of TPN infusion, the nurse checks the patient’s capillary blood glucose level and finds it to be 160 mg/dl. The most appropriate action by the nurse is to? Notify the Physician of the blood glucose level. Recheck the capillary blood glucose in 4 hours. Check the catheter insertion site for signs of inflammation. Slow the rate of the TPN solution to prevent hyperglycemia. 1 points 10The nurse discovers that a client’s TPN solution was running at an incorrect rate and is now 2 hours behind schedule. Which action is most appropriate for the nurse to take to correct the problem? Readjust the solution to infuse the desired amount. Continue the infusion at the current rate, but run the next bottle at an increased rate. Double the infusion rate for 2 hours. Notify the physician. 0.5 points 11Which of the following side effects would the nurse expect the client to exhibit in the event of too rapid an infusion of TPN solution? Negative nitrogen balance. Hyperkalemia. Hyperglycemia. Hypokalemia. 1 points 12Your patient has a peripheral IV and is receiving heparin via continuous IV infusion to treat a DVT. The patient develops pneumonia and requires antibiotic therapy every 6 hours IV. Each antibiotic IVPB needs to infuse over 30 minutes. To accomplish administration of both of these medications you would: stop the heparin every 6 hours to infuse the antibiotic piggyback the antibiotic into the heparin line to administer both at the same time ask the pharmacist to add the antibiotic to the heparin IV bag use a separate peripheral IV insertion site to administer the antibioticsHealth Science Science Nursing NURS MISC
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