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concept of nursing 2
Administration of parenteral medication:intravenous medication: lesson 3
| Question | Answer |
|---|---|
| Which of the following are advantages of volume-controlled intravenous (IV) infusions? | -There is less risk of rapid-dose infusion (as compared with IV push) because medications are diluted and infused over longer time intervals (e.g., 30 to 60 minutes) |
| -- | -It allows for administration of medications (e.g., antibiotics) that are stable for a limited time in solution. |
| The nurse is administering vancomycin (Vancocin) 500 mg by IV piggyback over 60 minutes. An hour later the nurse returns to find that approximately half of the infusion has been administered and | -- |
| the IV site appears swollen, pale, and is cool to the touch. What is the appropriate action to be taken for this unexpected outcome? | -Stop the infusion. -Provide extravasation care. -Discontinue the IV. |
| Which of the following is a correct sequence for administering an IV piggyback through a saline lock? | Cleanse the port with alcohol and assess the patency of the IV line by flushing it with 2 to 3 mL of sterile normal saline. Attach IV piggyback tubing to the saline lock, and administer the medication per order. |
| -- | When the infusion is completed, disconnect the tubing, cleanse the port with alcohol, and flush the IV line with 2 to 3 mL sterile normal saline. |
| Order: Oxacillin (Bactocil) 400 mg, IV, q6h. Medication available: 400 mg oxacillin (Bactocil) in 100 mL of D5W. Instruction: Infuse over 40 minutes. Micro-drip tubing (60 gtts/mL) is being used. The infusion pump should be set to mL per hour. | 150 |
| The nurse is planning to administer an IV medication with a mini-infusion pump. The nurse has performed hand hygiene; verified the medication, dose, route, and time with the order; and explained the medication therapy to the patient. | -- |
| The nurse uses two patient identifiers to verify the right patient. The nurse connects the prefilled syringe to the mini-infusion tubing and places the syringe into the mini-infuser pump. | -- |
| The nurse connects the mini-infusion tubing to the main IV line and hangs the pump on the IV pole alongside the primary IV. The nurse set the pump to deliver the medication within the recommended time | -- |
| while allowing the primary line to continue to infuse. The nurse observes the patient for any signs of adverse reactions. What steps have not been completed? The nurse needs to: | -gently push the plunger and fill the tubing with medication. -check that the syringe was secure in the mini-infuser pump. -wipe off the port with an alcohol swab before connecting the mini-infusion tubing to the main IV line.. |
| -- | -press the button on the mini-infusion pump to begin the infusion. |
| The nurse is preparing to administer a medication by the IV route. Which of the following actions indicates further instruction is needed? The nurse: | -removes the piggyback bag and tubing from the primary line after the piggyback has infused to prevent bacterial growth. -notes the time the piggyback is started on the pump in order to return at time of completion to turn the primary infusion back on. |
| Ordered: 150 mL of IV antibiotic to infuse over 40 minutes. At how many drops/min should the nurse set the rate, if the drop factor is 15 gtt/mL? | 56 |
| The health care provider has ordered levofloxacin (Levaquin) 250 mg in 50 mL to be infused over 1 hour. Micro-drip tubing (60 gtts/mL) is being used. The nurse should set the infusion pump at mL/hr. | 50 |
| The health care provider has ordered levofloxacin (Levaquin) 250 mg in 50 mL to be infused over 1 hour. How many gtt/min will you set the rate on a gravity flow if the drop factor is 15? | 13 |
Created by:
Lightnning54
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