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 A

Explanation

A. A 5 mL syringe can hold up to 5 mL of fluid. It is suitable for administering 2 mL of medication, as it provides enough capacity with some additional space to ensure accurate measurement and prevent overfilling.

B. A 1 mL syringe is too small for administering a 2 mL injection. It would not accommodate the entire volume, and attempting to draw and administer 2 mL with a 1 mL syringe could result in spillage or inaccurate dosing.

C. A 10 mL syringe is larger than necessary for administering a 2 mL injection. While it can hold the required volume and more, it is bulkier and might be less convenient for administering smaller volumes like 2 mL.

D. A 3 mL syringe can also accommodate a 2 mL injection. However, a 5 mL syringe would provide a more appropriate capacity with a bit of extra space, which can be beneficial for accurate measurement and ease of administration.

A. Do not recap the needle on an ABG specimen. B. Place uncapped needles in a puncture-proof container after use. C. Recap needles and place them in a wastebasket. D. Break needles in half before putting them in the sharps disposal box.

Correct Answer is A

Explanation

Recapping needles increases the risk of needlestick injuries. Needles used for arterial blood gas (ABG) specimens should never be recapped because this action significantly increases the likelihood of accidental puncture wounds.

B. Recapping needles can lead to accidental needlesticks, so it's safer to avoid this practice. Instead, needles should be immediately disposed of in a puncture-proof sharps container.

CA Recapping needles is strongly discouraged because it increases the risk of needlestick injuries. Placing needles in a regular wastebasket does not provide adequate protection from needlestick injuries and is not in line with safe disposal practices.

D. Breaking needles is hazardous and increases the risk of needlestick injuries. Needles should never be manipulated or broken before disposal. They should be placed intact in a sharps disposal container to prevent accidental exposure.

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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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If the nurse needs to administer a 2 mL injection what size syringe is most appropriate to use?

Correct Answer is A

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Correct Answer is A

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