A nurse is caring for a patient who is receiving DSW with 20 mEq of KCL at 75 mL/hr. The provider has prescribed 1 g of ceftriaxone IV. When preparing to administer this medication by IV piggyback, which of the following data is the highest priority for the nurse to consider before administration?

The patient's vital signs<br>

The medication's compatibility with the primary IV solution

The patient's level of consciousness

The amount of IV solution in the primary bag

Answer and Explanation

The Correct Answer is B

B. This is the highest priority. Before administering ceftriaxone via IV piggyback, the nurse must ensure compatibility with the primary IV solution (D5W with KCl). Certain medications can interact chemically or physically with other IV solutions or medications, leading to precipitation, inactivation, or other adverse effects. Compatibility should be verified through appropriate resources or pharmacy guidelines.

A. Vital signs provide crucial information about the patient's overall condition, but they do not directly impact the administration of the IV medication ceftriaxone. However, if there are significant changes in vital signs (e.g., fever, hypotension), these could influence the decision to administer ceftriaxone or any medication.

C. Important, but not directly related to medication administration. The patient's level of consciousness is crucial for assessing their neurological status and response to treatment, but it does not affect the administration of ceftriaxone IV piggyback specifically.

D. Important, but not the highest priority in this context. Monitoring the amount of IV solution in the primary bag is essential to ensure continuous fluid delivery and prevent interruptions in therapy.

However, for the immediate preparation and administration of ceftriaxone IV piggyback, ensuring compatibility with the primary IV solution takes precedence.

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Correct Answer is B

Explanation

B. Sucralfate should be taken on an empty stomach, at least 1 hour before meals or 2 hours after meals, to maximize its effectiveness. Food can interfere with its ability to coat the stomach lining.

A. Constipation is a common side effect of sucralfate, but it does not typically require discontinuation of the medication. Instead, clients are often advised to manage constipation with dietary fiber, fluids, and sometimes mild laxatives if necessary.

C. Antacids can interfere with sucralfate by altering its pH-dependent activation and should not be taken simultaneously. If antacids are necessary for symptom relief, they should be taken at least 30 minutes before or after sucralfate.

D. There is no specific instruction to remain upright after taking sucralfate

A. Administer the medication using a filter needle. B. Break the ampule by bending the top to the side. C. Flick the bottom of the ampule several times. D. Withdraw medication from the center of the ampule. E. None F. None

Correct Answer is A

Explanation

A. Using a filter needle is indeed a recommended practice when withdrawing medication from an ampule. This is because filter needles are designed to prevent glass particles from being drawn into the syringe after breaking the ampule.

B. Ampules should not be bent to open them. The proper method involves using a gauze or an ampule opener to snap the neck of the ampule away from the body. Bending the ampule can lead to shards of glass, risking injury to the nurse or contamination of the medication.

C. The ampule should be tapped gently to ensure all medication is in the lower portion before opening.

D. Withdrawing medication from the center of the ampule is the correct action because it ensures that the needle does not touch the broken glass edges, which could contaminate the medication or dull the needle.

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A nurse is caring for a patient who is receiving DSW with 20 mEq of KCL at 75 mL/hr. The provider has prescribed 1 g of ceftriaxone IV. When preparing to administer this medication by IV piggyback, which of the following data is the highest priority for the nurse to consider before administration?

Nursing Test Bank

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