A nurse is preparing to administer an IV push medication to a client. Which of the following actions should the nurse take?
Use a 10-mL syringe for administration
Administer the medication over 5 seconds
Flush the IV line with 20 mL of normal saline
Check the compatibility of the medication
The Correct Answer is D
Choice A reason: A 10-mL syringe may be too large for IV push medications, risking rapid administration. Smaller syringes (e.g., 3–5 mL) allow precise dosing, but compatibility is the priority, making this incorrect.
Choice B reason: Administering over 5 seconds is too fast for most IV push medications, risking adverse reactions. Medications require specific administration rates, but compatibility must be confirmed first, making this secondary.
Choice C reason: Flushing with 20 mL of normal saline ensures patency but is excessive for IV push. Compatibility checks prevent precipitation or inactivation, making flushing a follow-up action, not the priority.
Choice D reason: Checking medication compatibility with IV fluids or drugs prevents adverse reactions like precipitation. This ensures safe administration, making it the priority action before giving an IV push medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Storing unopened insulin in the freezer can degrade it. Refrigeration is correct, keeping insulin stable, making freezing incorrect for proper storage instructions.
Choice B reason: Rotating injection sites prevents lipodystrophy (tissue changes) by avoiding repeated trauma. This ensures consistent absorption, making it a critical instruction for insulin administration.
Choice C reason: Shaking insulin vials can damage proteins or create air bubbles, affecting efficacy. Gentle rolling is recommended for cloudy insulin, making this incorrect for proper handling.
Choice D reason: A 30-degree angle is too shallow for subcutaneous insulin; a 45–90-degree angle is standard. This incorrect technique may affect absorption, making it wrong.
Correct Answer is C
Explanation
Choice A reason: Complete bed rest increases stasis, a risk factor for thrombus formation per Virchow’s triad. Immobility slows venous return, promoting clot development, making this choice counterproductive and incorrect for preventing postoperative thrombi.
Choice B reason: Light wrapping may provide comfort but does not effectively prevent thrombus formation. Compression stockings are preferred for venous return, and wrapping alone is insufficient, making this choice less effective than ambulation.
Choice C reason: Early ambulation promotes venous return, reducing stasis and preventing thrombus formation in postsurgical patients. It enhances circulation, countering Virchow’s triad, and is a standard intervention, making this the correct action to implement.
Choice D reason: Pillows under the knees cause venous pooling by flexing joints, increasing thrombus risk. This contradicts measures to enhance circulation, such as ambulation, making it an incorrect choice for thrombus prevention.
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.