A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion.
Which of the following steps should the nurse take first?
Hang the antibiotic medication bag above the level of the primary infusion.
Wipe the connection port of the primary IV tubing with an antiseptic swab.
Check the IV site for signs of infiltration.
Connect the tubing of the medication bag to the primary tubing.
The Correct Answer is C
Choice A rationale:
Hanging the antibiotic medication bag above the level of the primary infusion is an important step in administering an antibiotic via intermittent IV bolus. However, it is not the first step. The medication bag is usually hung higher to allow the antibiotic to infuse by gravity once it’s connected.
Choice B rationale:
Wiping the connection port of the primary IV tubing with an antiseptic swab is a crucial step in preventing infection. However, this is typically done just before connecting the secondary line, not as the first step.
Choice C rationale:
Checking the IV site for signs of infiltration is indeed the first step. It’s important to ensure that the IV catheter is still properly placed in the vein and that there are no signs of infection or infiltration, which could cause complications.
Choice D rationale:
Connecting the tubing of the medication bag to the primary tubing is done after cleaning the port and before hanging the bag. It’s not the first step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Instructing the client to chew the medication is not recommended for enteric-coated tablets as it could result in stomach upset or damage to the protective coating.
Choice B rationale:
Placing the medication on the client’s tongue allows for easier swallowing without compromising the integrity of the enteric coating.
Choice C rationale:
Dissolving the medication in juice is not recommended as it could damage the enteric coating and result in stomach upset.
Choice D rationale:
Placing the medication between the client’s cheek and gum is not typically recommended for enteric-coated tablets as it could result in discomfort or damage to the protective coating.
Correct Answer is C
Explanation
Choice A rationale:
Pinching the tube while connecting the syringe to it could potentially damage the tube and does not aid in medication administration.
Choice B rationale:
Elevating the head of the client’s bed to only 10° may increase the risk of aspiration. The head of the bed should be elevated to at least 30° during medication administration and for at least an hour afterward.
Choice C rationale:
Flushing the tube with normal saline following medication administration helps ensure that all medication has been administered and helps maintain tube patency.
Choice D rationale:
Combining crushed medications together in a single syringe can lead to drug interactions and can also increase the risk of tube clogging. Each medication should be administered separately.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.