answers
A patient is receiving an intravenous (IV) push medication. If the drug
infiltrates into the outer tissues, the nurse:
A. Continues to let the IV run
B. Applies a warm compress to the infiltrated area
C. Stops the administration of the medication and follows agency policy
D. Should not worry about this because vesicant filtration is not a
problem Correct Answer-C. Stops the administration of the medication
and follows agency policy
If a patient who is receiving IV fluids develops tenderness, warmth,
erythema, and pain and the site, the nurse suspects?
A. Sepsis
B. Phlebitis
C. Infiltration
D. Fluid overload Correct Answer-B. Phlebitis
The nurse is preparing to administer a medication via the intravenous
push method. Which actions should the nurse take to ensure patient
safety? (Select all that apply)
A. Check the six rights of medication administration.
B. Check compatibility of solutions.
C. Educate the patient on safety concerns.
D. Label the syringe with the appropriate information.
,E Rely on memory to determine the rate of administration. Correct
Answer-A. Check the six rights of medication administration.
B. Check compatibility of solutions.
C. Educate the patient on safety concerns.
D. Label the syringe with the appropriate information.
Which action can the nurse safely delegate to the unlicensed assistive
personnel in regards to care of the patient receiving an intravenous push
medication?
A. Assess site for signs and symptoms of phlebitis.
B. To report patients statement on coolness at IV site to RN.
C. Ensure mini-infusion of intravenous push medication is complete.
D. Obtain pain score from patient 30 minutes after Morphine
administration. Correct Answer-B. To report patients statement on
coolness at IV site to RN.
A nurse takes precautions to prevent undesirable outcomes when
administering medications by the intravenous route. Which of the
following actions would require correction in order to prevent an
undesirable outcome?
A. The nurse administers an IVP medication via a central line that has
TPN infusing.
B. The nurse verifies the prescribed dilution and rate of administration
so that the medication is given over the appropriate amount of time in
the appropriate concentration.
C. The nurse verifies any high alert medications with another nurse and
consults the pharmacist or manufacturer with medication concerns.
, D. The nurse assess IV site for signs of infiltration and phlebitis prior to
administering medications to ensure patient safety. Correct Answer-A.
The nurse administers an IVP medication via a central line that has TPN
infusing.
Medication prescription:
Narcan 0.2 mg, IV, STAT for respiratory rate less than 4 bpm.
The pharmacy provides a vial of Narcan. The label reads Naloxone HCL
injection, USP 400 mcg/ml (0.4 mg/mL). How many mL of the
medication will you administer?
A. 1
B. 2
C. 0.5
D. 0.2 Correct Answer-C. 0.5
Morphine 10 mg, IV, NOW for chest pain.
The morphine vial reads Morphine Sulfate injection, USP 5 mg/mL.
How many mL of the medication will you administer?
A. 1
B. 2
C. 0.5
D. 5 Correct Answer-B. 2