A risk associated with IV push medication administration is?
increased risk for speed shock
Increased risk for infiltration
Increased risk for infection
A slow drug response
The Correct Answer is A
A. increased risk for speed shock: IV push medications enter the bloodstream rapidly, creating a high risk for speed shock, which is a toxic reaction caused by sudden drug administration. Symptoms may include dizziness, hypotension, irregular pulse, and cardiovascular collapse if not controlled.
B. increased risk for infiltration: Infiltration occurs when IV fluid or medication leaks into surrounding tissue. While possible with any IV therapy, it is not uniquely associated with IV push administration, since the risk is higher with prolonged infusions.
C. increased risk for infection: Infection risk is present with all IV routes due to potential contamination, but IV push does not specifically increase this risk compared to other IV methods when proper aseptic technique is followed.
D. a slow drug response: IV push produces one of the fastest drug responses because the medication is delivered directly into circulation. This makes it the opposite of a slow response, which is more characteristic of oral routes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Availability of different dosage forms of the same medication: Pediatric patients often require liquid formulations, divided doses, or off-label preparations. Variability in forms increases the chance of calculation or administration errors, making this the most frequent risk factor.
B. There are many standardized dosing regimens for children: In pediatrics, standardized regimens are limited, and dosing is usually individualized by weight or body surface area. This complexity increases error potential, not the existence of many standardized regimens.
C. Children are able to communicate adverse reactions: Young children often cannot clearly communicate adverse effects, which makes detection of errors harder. This inability to communicate contributes to risk but is not the main cause of errors.
D. There is not a variance among children in body weight, surface area, and organ maturity: There is actually significant variability among children, which complicates dosing and pharmacokinetics. Variability is a major challenge in pediatric medication safety.
Correct Answer is B
Explanation
Convert the child's weight from pounds (lb) to kilograms (kg).
Client weight: 35 lbs
1 kg = 2.2 lbs
Weight (kg) = 35 lbs / 2.2 lbs/kg
= 15.909 kg
Calculate the minimum recommended daily dose in milligrams (mg/day).
Minimum recommended rate: 3 mg/kg/day
Minimum daily dose (mg) = Minimum recommended rate (mg/kg/day) x Weight (kg)
= 3 mg/kg/day x 15.909 kg
= 47.727 mg/day.
Calculate the maximum recommended daily dose in milligrams (mg/day).
Maximum recommended rate: 6 mg/kg/day
Maximum daily dose (mg) = Maximum recommended rate (mg/kg/day) x Weight (kg)
= 6 mg/kg/day x 15.909 kg
= 95.455 mg/day
Round the minimum and maximum doses to the nearest tenth
Minimum daily dose: 47.7 mg
Maximum daily dose: 95.5 mg.
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