How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse is preparing to administer ceftriaxone via continuous IV Infusion to a client who has pelvic inflammatory disease. When preparing the infusion, the nurse should identify which of the following diluents as incompatible with this medication?

A.

Dextrose 5% in water

B.

Lactated Ringer's

C.

0.9% sodium chloride

D.

Sterile water

Answer and Explanation

The Correct Answer is B

A. Dextrose 5% in water: D5W is compatible with ceftriaxone for IV infusion. It is often used as a diluent for many IV antibiotics, including cephalosporins, and does not pose a risk of harmful interaction with this medication.

B. Lactated Ringer's: Ceftriaxone is incompatible with calcium-containing IV solutions like Lactated Ringer’s. The calcium in LR can bind with ceftriaxone and form precipitates, especially in neonates, posing a risk of embolism or organ damage.

C. 0.9% sodium chloride: Normal saline is compatible with ceftriaxone for reconstitution and infusion. It is commonly used as a safe diluent that does not cause chemical interaction with this antibiotic.

D. Sterile water: Sterile water is often used for initial reconstitution of IV medications. While it lacks electrolytes for large-volume infusions, it does not chemically interact with ceftriaxone in small reconstitution volumes.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is B,D,C,A

Explanation

Progressive discipline begins with a verbal warning to make the employee aware of performance concerns. If the behavior persists, the next step is a written reprimand outlining expectations and deadlines for improvement. Continued issues lead to a suspension, which serves as a final warning. If no improvement occurs, termination of employment is the final step.

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"A,B,C"},"C":{"answers":"B"},"D":{"answers":"B,C"}}

Explanation

Assessment Finding

Fifth disease (Erythema Infectiosum)

Measles (Rubeola)

Rubella (German measles)

Red rash on the face

✔

✔

Fever

✔

✔

✔

Koplik spots in the mouth

✔

Lymphadenopathy

✔

✔

Rationale:

  • Red rash on the face:This finding can occur in all three illnesses. Fifth disease causes a "slapped cheek" appearance, measles begins with a facial rash that spreads, and rubella typically starts with a facial rash as well. All are common pediatric viral exanthems.
  • Fever:Fever is a nonspecific symptom but is present in all three illnesses. It often appears early in measles and rubella and may occur with fifth disease, although less severe in the latter.
  • Koplik spots in the mouth:These small white lesions on the buccal mucosa are pathognomonic for measles and appear 1–2 days before the measles rash. They are not seen in rubella or fifth disease and are a key diagnostic feature.
  • Lymphadenopathy:Generalized lymph node swelling is typical of rubella and also seen in measles due to immune system activation. It is not a feature of fifth disease, which tends to be milder and self-limiting.

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

Register