ATI - Medication Administration 4
A nurse is caring for a patient with a peripherally inserted central catheter (PICC line). Which of the following is true about this type of intravenous route?
A PICC line is a long catheter inserted through the veins of the antecubital fossa
A nurse administers the first dose of a pt's prescribed antibiotic via IV piggyback. During the first 10 to 15 min of administration of the medication, the nurse gives priority to which of the following assessments?
Patient for systemic allergic reaction
A nurse is caring for a pt who is receiving D5W with 20 mEq of KCL at 75 ml/hr. the provider has prescribed 1 g Ceftriaxone (Rocephin) iv. When preparing to administer this medication by iv piggyback, which of the following data is the highest priority for the nurse to collect?
The medication's compatibility with the primary IV solution
A nurse is caring for a patient receiving 0.9% sodium chloride at 75 ml/hr through a triple lumen central venous catheter. The pump is alarming that there is an occlusion. Which of the following is the first thing the nurse should do?
Check the line at or above the hub for kinked tubing that is creating a resistance to flow
A patient is to receive 1 g of Ceftriaxone (Rocephin) in 100 ml over 30 min. the tubing drip rate is 10 gtt/ml. the nurse should adjust the flow rate to what infusion rate?
33 gtt/min To determine the correct flow rate divide the volume to be infused by the time in minutes and multiply by the drop factor. So, 100 (volume to be infused) divided by 30 (time in min) x 10 (drops per mL) = 33 gtt/min.
A patient was admitted to the hospital for same day surgery and has orders for continuous intravenous therapy. Before performing a venipuncture, the nurse should
Inspect the IV solution for fluid color, clarity, and expiration date
A nurse is about to administer an iv medication directly into the vein. The nurse should understand that a disadvantage of parenterally administered medications is that they
Are irreversible
A nurse is assessing a pt receiving iv normal saline at 125ml/hr. which of the following should the nurse recognize as a possible complication related to the iv therapy?
Patient reports cough and shortness of breath
