A student nurse is caring for a client who will be receiving sodium nitroprusside (Nipride) via IV infusion. What action by the student causes the registered nurse to intervene?
a. Assessing the IV site before giving the drug
b. Obtaining a programmable ("smart") IV pump
c. Removing the IV bag from the brown plastic cover
d. Taking and recording a baseline set of vital signs
ANS: C
Nitroprusside degrades in the presence of light, so it must be protected by leaving it in the original brown plastic bag when infusing. The other actions are correct, although a "smart" pump is not necessarily required if the facility does not have them available. The drug must be administered via an IV pump, although the programmable pump is preferred for safety.
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