NUR 518 Final IV Med Administration, IV therapy and peripheral access, wound care Questions with 100% Correct Answers.

IV medication compatibility Correct Answer Chemical stability of two or more meds when administered together -No visible or electronically detected indication of particulate formation, haze, precipitation, color change or gas evolution -stable (less than 10% decomposition) for at least 24 hours in admixture or for entire test period Premedication IV assessment includes Correct Answer Review clients health history, allergies, medication data, vital signs, physical assessment, psychosocial and cultural considerations and learning needs Before administering IV med Correct Answer Take vital signs, obtain pain score before analgesics and sedation score prior to med that causes mental status changes IV bolus Correct Answer placement of prescribed med directly into blood stream Usually concentrated and small amount of fluid needed Ideal for clients who cannot tolerate large volume of fluid IV bolus (IV push) administration Correct Answer Delivered over 3 to 5 minutes Can be given in an existing line through injection port that is closest to client If line is saline locked, nurse must flush IV line with NS before and after med admin Intermittent IV bolus administration Correct Answer delivered intermittently throughout the day Primary line maintenance fluid and med delivered is connected through Y port Primary fluid must be positioned lower than piggyback CVADs types Correct Answer Peripherally inserted central catheters (PICCs), implanted ports, and other central venous catheters (CVCs) PICCs used for Correct Answer IV therapy for chronic health problems at home. Acute care- provide central access with fewer and less severe complications than with a CVC PICC care Correct Answer assess insertion site and upper extremity at start of each shift and every 4-8 hours Look for phlebitis, thrombophlebitis, venous occlusion and infiltration (pain, erythema, edema, ipsilateral swelling, change in arm circumference)