With Complete Solutions
A nurse takes precautions to prevent an undesirable outcome
when administering medications by the intravenous (IV) route.
Which of the following actions may produce an undesirable
outcome? The nurse:
A. adds a piggyback infusion of an antibiotic to a main line IV
of parenteral nutrition.
B. explores the patient's cultural beliefs regarding the use of
alcohol, herbal remedies, and dietary preferences.
C. verifies the prescribed dilution and rate of administration so
that the medication is given over the appropriate amount of time
in the appropriate concentration.
D. administers solutions and medications prepared and
dispensed from the pharmacy or as commercially prepared when
possible. Correct Answer A. adds a piggyback infusion of an
antibiotic to a main line IV of parenteral nutrition.
Identify advantages of administering medication by the IV route.
(Select all that apply.)
A. Less risk of an allergic response
B. Onset of therapeutic action is delayed
C. Delivers medication quickly in an emergency
D. Establishes therapeutic blood levels
E. Causes less discomfort with highly alkaline medications than
subcutaneous or intramuscular route
F. Requires less knowledge and skill Correct Answer C, D, E
, Identify nursing precautions to ensure safe patient care when
administering IV medications. (Select all that apply.)
A. Observing for symptoms of adverse reactions
B. Following the 6 rights of medication administration
C. Being knowledgeable of the desired action and side effects of
the medication
D. Adding IV medications to IV bags that are already hanging
E. Assessing vital signs before, during, and after infusion with
potent medications
F. Verifying the rate of administration with a drug reference or
pharmacist
G. Informing the assistive personnel how to assess for fluid
overload and evaluate the medication's effectiveness
H. Having the antidote available, if the medication has one
Correct Answer A, B, C, E, F, H
Matching:
A. observed the patient during and after medication
administration
B. calculated and prepared the amount of medication as
necessary according to orders
C. administered the medication at the prescribed frequency
D. verified compatibility with the drug and IV fluids
E. compared the order with the medication label on the vial
F. asked the patient to state his name and birthdate and looked at
his identification bracelet
G. calculated the amount of time necessary to push the
medication according to a drug reference
H. recorded medication administration