Which methods will the nurse use to administer an intravenous (IV) medication that is incompatible with the patient's IV fluid? (Select all that apply.)
a. Start another IV site.
b. Administer slowly with the IV fluid.
c. Do not give the medication and chart.
d. Flush with 10 mL of sterile water before and after administration.
e. Flush with 10 mL of normal saline before and after administration.
ANS: A, D, E
When IV medication is incompatible with IV fluids, stop the IV fluids, clamp the IV line above the injection site, flush with 10 mL of normal saline or sterile water, give the IV bolus over the appropriate amount of time, flush with another 10 mL of normal saline or sterile water at the same rate as the medication was administered, and restart the IV fluids at the prescribed rate. Do not administer the drug slowly with the IV; this is contraindicated when incompatibility exist. Not giving the medication and charting is inappropriate; this is not a prudent or safe action by the nurse.
You might also like to view...
For which patient is drug therapy with nicotinic acid contraindicated?
a. 28-year-old who has familial hyperlipidemia b. 38-year-old who had hyperthyroidism and lactose intolerance c. 58-year-old who has an actively bleeding duodenal ulcer d. 78-year-old who takes an oral drug for type 2 diabetes
When teaching about the procedure for capillary puncture, the nurse instructs a patient to:
a. hold the finger upright. b. use the central tip of the finger. c. allow the antiseptic to dry completely. d. vigorously squeeze the end of the finger.
Nursing is a human science that can function independently; attention is focused on individual definitions of health and quality of life and assists in making the client and the nurse partners in the plan of care
Match the theory with its description. a. Environmental theory d. Systems model b. Definition of nursing e. Human becoming c. Philosophy and science of caring f. Unitary human beings
A client's physician has prescribed paroxetine (Paxil) for the treatment of her depression. Which of the following teaching points should the nurse include in the client education related to this treatment?
A) "If you don't feel noticeably better within three weeks, increase your dose by 50 %." B) "Make sure that you don't change the quantity or timing of your medication without first consulting your doctor." C) "If you forget to take a dose one day, take a double dose the next day and be sure to let your doctor know." D) "The advantage of Paxil is that it will normally relieve depression in a few weeks and it has no side effects."