A client is prescribed a medication to be administered IV push that is incompatible with the primary intravenous solution. What should the nurse do to safely administer this medication?
1. Insert a new angiocatheter
2. Change the route to an oral dose
3. Flush the angiocatheter with normal saline
4. Discontinue the primary infusion for several hours
3
Rationale 1: A new angiocatheter is not required.
Rationale 2: The order was written for intravenous administration. Changing the route to oral is beyond the nurse's scope of practice.
Rationale 3: Flushing the primary infusion tubing will be necessary both before and after administering the drug if incompatibility exists. Normal saline is used to flush the line.
Rationale 4: Discontinuing the primary infusion for several hours can be harmful to the client and does not ensure that the medication will not react with the remaining fluid in the angiocatheter.
Global Rationale: Flushing the primary infusion tubing will be necessary both before and after administering the drug if incompatibility exists. Normal saline is used to flush the line. A new angiocatheter is not required. The order was written for intravenous administration. Changing the route to oral is beyond the nurse's scope of practice. Discontinuing the primary infusion for several hours can be harmful to the client and does not ensure that the medication will not react with the remaining fluid in the angiocatheter.
You might also like to view...
The LPN/LVN assists with admitting a client with severe gastric pain by doing which of the following? Select all that apply. Standard Text: Select all that apply
1. Measuring vital signs 2. Determining the client's current pain level 3. Performing a head-to-toe complete admission assessment 4. Asking the client about allergies 5. Administering analgesics as ordered
A nursing instructor is quizzing a group of students about the function of the nephron. The student must choose which processes that control the function of the nephron to answer the question correctly? (Select all that apply.)
A) Filtration B) Dilution C) Secretion D) Reabsorption E) Concentration
A client is admitted to a hospital for diabetes. A medical team of doctors and nurses is assigned by the hospital to treat him. The client expects to receive efficient care from the assigned nurse
What kind of services can the client expect from the nurses in this regard? A) Get help from one of the nurses in making a living will B) Have knowledge about the medication to be administered C) Get special care from the nurses compared with other clients D) Get legal advice pertaining to an advanced directive from the nurses
A nurse is about to open a fresh carton of surgical gloves. Which should the nurse do on noticing that the date of the package has expired?
A) The packet of gloves must be sterilized. B) The outer glove covering must be removed. C) The carton of gloves must be refrigerated. D) The packet of gloves must be discarded.