Deck 10: Infusion Medication Safety, Methods, and Routes

Question 1

A nurse is administering I.V. medications to multiple clients. Which are nursing responsibilities related to the administration of I.V. medications? SELECT ALL THAT APPLY.

A)Altering dosages to achieve the desired drug response
B)Determining the correct dose and route of administration
C)Providing the client with education about the medication
D)Recognizing both the desired and undesired effects of medication

Answer 1

A, C, D

Question 2

A trauma physician orders an intraosseous (IO) infusion for an 8-year-old child. A nurse uses the EZ-IO to insert the IO infusion knowing that intraosseous infusions are used for:

A)home antibiotic therapy.
B)long-term nutritional support in children.
C)delivery of fluids, electrolytes, and medications to children and adults when venous access is not attainable.
D)delivery of fluids and medications only to children younger than 6 years old.

Answer 2

C

Question 3

An oncologist orders an antineoplastic agent to be delivered to a client via the intraperitoneal route. Intraperitoneal delivery of antineoplastic therapy delivers the drug directly into:

A)an artery.
B)a cavity.
C)a vein.
D)a ventricle.

Answer 3

B

Question 4

A nurse is ordered to administer an I.V. medication at scheduled intervals over a period of time. The nurse understands that after administering the medication, peak plasma concentration occurs:

A)immediately.
B)between doses or halfway between doses.
C)just before the next dose is given.
D)within 30 to 60 minutes after administration of the drug.

Question 5

A pediatrician orders an intraosseous infusion for a 4-year-old child. A nurse obtains informed consent from the child's parents after verifying that they understand the potential for which complications? SELECT ALL THAT APPLY.

A)Cellulitis
B)Air embolus
C)Osteomyelitis
D)Damage to the epiphyseal plate

Question 6

A nurse administers a medication to a client using an I.V. route. Which is an advantage of I.V. administration of medications?

A)Provides a route for irritating substances, instant drug action, and better control of drug administration
B)Causes speed shock, rapid onset of drug action, and allows for the absorption of drugs in gastric juices
C)Prevents errors in compounding of medication, whereas there is a low risk for infiltration and phlebitis
D)Allows for uninterrupted control of the medication rate, whereas there is a low risk for adverse effects and adsorption

Question 7

A perioperative nurse is educating surgical clients on postoperative pain control. Which statements made by the nurse regarding PCA are true? SELECT ALL THAT APPLY.

A)The best results for PCA occur when the client can administer a bolus every 5 to 10 minutes.
B)The best results for PCA occur when the client can administer a bolus every 30 to 60 minutes.
C)When clients are in control and know they can get more immediate pain relief by pushing a button, they are more relaxed.
D)In the first 24 hours after surgery, the client has the greatest need for pain control.

Question 8

When preparing to piggyback an antibiotic to a primary I.V. infusion, a nurse could hang the medication in which of the following ways? SELECT ALL THAT APPLY.

A)Hanging the antibiotic solution higher than the primary I.V.
B)Hanging the antibiotic solution lower than the primary I.V.
C)Hanging the antibiotic solution level to the primary I.V.and delivering simultaneously
D)Disconnecting the main solution and plugging in the secondary administration set
Chapter 10: Infusion Medication Safety, Methods, and Routes

Question 9

A physician's assistant orders two medications for a client and instructs a nurse to administer the medications together. The nurse questions the order because incompatibilities can occur when two drugs are compounded. These incompatibilities may include:

A)intermittent, physical, and biotransformation incompatibilities.
B)drug interaction, synergism, and tolerance.
C)physical, chemical, and therapeutic incompatibilities.
D)anaphylaxis, tolerance, and drug interactions.

Question 10

A nurse is performing wound care on a client's epidural site. Which is contraindicated for use when caring for epidural catheters?

A)Povidone-iodine
B)Sodium chloride solution
C)Preservative-free medications
D)Alcohol

Question 11

A nurse is about to administer an I.V. push medication through a locking device. Which action should the nurse take with the nondominant hand while piercing the resealable lock port with the dominant hand?

A)Hold a watch that has a second hand.
B)Stabilize the port of the locking device.
C)Wipe the insertion site with an alcohol swab for 15 seconds.
D)Apply pressure over the catheter insertion site.

Question 12

A committee is asked to investigate ways to reduce needlestick injuries in a hospital. Which technology best assists in the reduction of needlestick injuries?

A)Luer locks
B)Elastomeric pumps
C)Needleless systems
D)Three-way stopcocks