IV piggyback and mini

After injecting the medication into the injection port of a volume control administration set, what would the nurse do with the volume control chamber to mix the medications?

Agitate it gently.

A client has been receiving an IV piggyback medication via gravity. On assessment the nurse notes that the infusion has not completed but is no longer dripping in the drip chamber. What action should the nurse perform first?

Assess the client's IV site for infiltration or other complication.

The nurse is administering a medication to a client by piggyback IV infusion. Which accurately describes a step in this procedure?

Attach the infusion tubing spike into the port of the medication container.

The nurse has just compared the label on the piggyback medication with the medication administration record (MAR), using the Rights of Medication Administration for a section check. What is the next step in the process?

Calculate the drip rate for the prescribed infusion time.

When preparing to backprime by gravity, what will the nurse do first?

Close the roller clamp on the tubing.

The nurse is preparing to reuse an intermittent administration set for administering a medication intravenous piggyback. The label on the tubing indicates that it was hung 12 hours ago. What action should the nurse take next?

Continue with preparing to hang the medication.

While receiving a medication IV piggyback, the client reports discomfort at the IV site. Upon assessment, the site is cool to the touch and slightly swollen. What is the best action by the nurse?

Discontinue the IV site and restart IV in a new location.

The nurse is attaching the infusion tubing to the medication container when administering a piggyback IV infusion of medication. What motion would the nurse use when inserting the tubing spike into the port?

Firm pushing and twisting motion.

The nurse is administering an IV infusion prescribed to infuse over 30 minutes via a mini infusion pump. What would be the nurse's first action once the 30 minutes is up?

Press the off button on the pump.

After inserting a medication syringe into a mini infusion pump, which action would the nurse do next?

Use an antimicrobial swab to clean the medication administration port on the primary infusion tubing closest to the client.

The nurse is teaching a student nurse the advantages of using a volume control administration set to administer IV medications. What is the primary advantage of using this device?

When fluid volume is a concern, it limits how much fluid can be infused at one time.

When administering an intravenous medication by piggyback, which action by the nurse will best prevent precipitate from forming in the IV tubing?

ensuring there are no incompatibilities between the medication and the IV fluid

The nurse is preparing to backprime by gravity. Place in order, from first to last, the actions the nurse will perform. Use all options.

1)Close the roller clamp on the tubing. 2)Spike the new bag. 3)Hang the spiked bag on the IV pole. 4)Compress the drip chamber and allow it to fill about halfway full. 5)Connect the secondary bag to the primary bag at the appropriate port.

The nurse is preparing to deliver an antibiotic to a client using a mini infusion pump. After assessing the administration site and checking to make sure there are no air bubbles in the medication syringe, what would be the nurse's next step?

Attach the syringe to the mini infusion tubing.

The nurse is preparing to administer medication to a client using a piggyback IV infusion. The client is receiving a continuous IV infusion of dextrose 5% and water (D5W). Which would be most important for the nurse to do before administering the medication?

Check the compatibility of the medication with the IV solution.

After hanging an antibiotic via secondary tubing, the nurse notes that the antibiotic is not infusing. What actions will the nurse take to troubleshoot this problem? Select all that apply.

Check the connections and ensure they are secure., Assess the IV insertion site., Check for any kinks in the tubing., Ensure the roller clamp is open.

Following completion of a piggyback infusion by gravity, what extra step must the nurse perform with the gravity setup after replacing the primary IV fluid container to the original height?

Check the primary infusion rate and adjust as needed.

After setting up a piggyback IV infusion of antibiotics for a client, the nurse notices that the solution is not infusing. Which should the nurse do first?

Check the tubing for kinks and pressure points.

After mixing medication with the solution in the volume control chamber, what would be the nurse's next step?

Clean the injection port on the primary IV infusion tubing closest to the client with an antimicrobial swab.

A client is receiving an intermittent piggyback IV infusion of medication. Once the solution in the piggyback container is infused, what is the nurse's next step?

Close the clamp on the primary infusion tubing and dispose of following facility policy.

The nurse returns to a client's room after the infusion of IV pain medication via a volume control administration set has been completed. Which sequence would the nurse now perform?

Close the roller clamp, turn off the pump, remove the volume control device, recap it, recheck the flow rate of the primary infusion.

The nurse is caring for a client receiving IV medication. Which would be the appropriate action when the piggyback infusion does not infuse?

If the IV is in the arm, make sure the arm is not raised above heart level.

The nurse is administering an IV medication to a client via a volume control administration set. When would the nurse regulate the calculated rate?

Immediately after opening the roller clamp on the volume control device tubing.

What are the advantages of using an IV pump to backprime secondary tubing? Select all that apply.

It eliminates reliance on gravity to determine which bag flows., It ensures medication is not lost during priming of the tubing., It keeps the system closed therefore less chance of contamination., It allows for easy priming when re-using a secondary tubing set.

The nurse is using a mini infusion pump to administer an IV solution to a client. When explaining to the client how the pump works, the nurse would integrate knowledge of which?

Mechanical pressure is applied to the plunger.

The nurse is attaching a label to a client's volume control administration set. Which client information should be printed on the label?

Medication dosage.

When administering an IV antibiotic to a client, where would the nurse hang the piggyback container?

On the IV pole, higher than the primary IV solution container.

The nurse performs hand hygiene and identifies and assesses a client prior to administering an IV antibiotic via a volume control administration set. Which would the nurse do next?

Open the clamp between the IV solution and the volume control administration set.

When administering an IV medication to a client with a mini infusion pump, the nurse attaches the medication syringe to the mini infusion tubing. Which action would the nurse take?

Press the syringe plunger gently to fill the infusion tubing with medication.

The nurse is administering a prescribed antibiotic to a client via a piggyback IV infusion. After hanging the piggyback solution container on the IV pole and labeling it, what would the nurse do next?

Squeeze the drip chamber of the tubing and release.

The nurse is administering IV medications to a client using a mini infusion pump. The nurse would expect the pharmacy to prepare the medication in which container?

Syringe.

The nurse is directed to administer to the client an IV heart medication using a volume control administration set. Which accurately describes this process?

The medication is diluted in a small amount of solution in a cylindrical chamber that is attached to the IV line.

The nurse squeezes the drip chamber on the tubing, releases it, then watches it fill to the line before opening the clamp and priming the tubing. Why is the tubing primed?

To make sure the tube is clear of air.

The nurse is administering a piggyback IV infusion of medication via gravity. What should the nurse use to regulate the flow of the gravity infusion at the prescribed delivery rate?

roller clamp

The nurse is administering insulin intravenously to a postoperative client with diabetes. A mini infusion pump is being used. The nurse understands that this device is also known as:

syringe pump.