ATI Intravenous medication administration Post test
A nurse is preparing to administer ceftriaxone 1 g in 100 mL IV over 30 minutes. The drip rate is 10 gtt/mL. The nurse should set the infusion rate to administer how many gtt/min?
33 gtt/min
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line. The nurse should identify that which of the following information is true about this type of IV route? -A PICC line is a midline catheter used to administer blood. -A PICC line is a catheter that allows for infusion of IV fluids without an infusion pump. -A PICC line is a long catheter inserted through the veins of the antecubital fossa. -A PICC line is a catheter that is used for emergent or trauma situations.
A PICC line is a long catheter inserted through the veins of the antecubital fossa. *PICC lines have lower complication rates because they are inserted in the upper extremity.
A nurse administers the first dose of a client's prescribed antibiotic via intermittent IV bolus. During the first 10 to 15 min of administration, which of the following assessments is the nurse's priority? -Assess the IV site for redness or swelling. -Assess the client for a systemic allergic reaction. -Assess the IV dressing for signs of leakage. -Assess the client's limb for signs of discomfort.
Assess the client for a systemic allergic reaction *The greatest risk to this client is anaphylaxis. Therefore, the priority assessment is to assess the client for a systemic allergic reaction. Clients can experience a systemic allergic reaction rapidly with IV antibiotics and should be observed for the first 10 to 15 min for manifestations.*
A nurse is caring for a client who is receiving 0.9% NaCl IV at 75 mL/hr through a triple lumen central venous access device. The IV pump alarm sounds, indicating that there is an occlusion. Which of the following actions should the nurse take first? -Call the provider who inserted the catheter. -Flush the line with a 10-mL syringe of heparin. -Check the line at or above the hub for kinked tubing that is creating a resistance to flow. -Reposition the client.
Check the line at or above the hub for kinked tubing that is creating a resistance to flow. **The first action the nurse should take when using the nursing process is to assess the client's IV line at or above the hub for kinked tubing that is creating a resistance to the flow of the infusion. This is most likely the problem and should be where the nurse checks first.**
A nurse is assessing a client who is receiving 0.9% sodium chloride IV at 125 mL/hr. Which of the following should the nurse recognize as a possible complication related to the IV therapy? -Petechiae is present over the IV site. -The skin is cool over the IV site. -Client reports coughing and shortness of breath. -Client's blood pressure is lower than normal.
Client reports coughing and shortness of breath *Coughing and shortness of breath are manifestations of fluid overload. The nurse should slow the IV and notify the provider.*
A nurse is preparing to administer an IV medication to a client. The nurse should identify that which of the following is a disadvantage of administering IV medication? -IV medications are irreversible. -IV medications have a slow onset. -IV medications bypass the liver. -IV medications have less bioavailability.
IV medications are irreversible *Once an IV medication has been injected, it cannot be retrieved. If the dose is excessive or the client is allergic, the consequences can be fatal.*
A nurse is caring for a client who was admitted to the hospital for same surgery and has a new prescription for continuous IV therapy. Which of the following actions should the nurse take when administering IV therapy?
Inspect the IV solution for fluid color, clarity, and expiration date. *All IV solutions must be free of contaminants and particles and current for usage.*
A nurse is caring for a client who is receiving dextrose 5% water with 20 mEq of potassium chloride at 75 mL/hr. The provider has prescribed 1 g ceftriaxone IV. When preparing to administer this medication by intermittent IV bolus, which of the following actions should the nurse take first?
Verify the medication's compatibility with the primary IV solution. **The greatest risk to this client is injury from precipitate in the IV solution. Therefore, the first action the nurse should take is to assess the medication's compatibility with the primary solution. If the medication is not compatible with the primary solution, a precipitate can form in the IV tubing, preventing medication administration.**
