Question 1

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

Accepted Answer

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:

Accepted Answer

Intraosseous infusions are used for the delivery of fluids, electrolytes, and medications to children and adults when venous access is not attainable. They are not used for home antibiotic therapy or long-term nutritional support, and they are not limited to children younger than 6 years old.

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:

Accepted Answer

Intraperitoneal delivery of antineoplastic therapy delivers the drug directly into the peritoneal cavity, which is the space between the abdominal organs and the abdominal wall. This route allows for a higher concentration of the drug to remain in the peritoneal cavity, resulting in improved efficacy and reduced systemic toxicity. Intraperitoneal delivery is used for certain types of cancer, such as ovarian cancer.

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:

Accepted Answer

Peak plasma concentration of a medication administered intravenously at scheduled intervals typically occurs between doses or halfway between doses, as this is when the drug concentration in the bloodstream reaches its highest level before starting to decline due to metabolism and excretion.

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?

Accepted Answer

Intraosseous infusion can lead to cellulitis (A) due to infection at the insertion site, osteomyelitis (C) as a deeper bone infection, and damage to the epiphyseal plate (D) which can affect bone growth in children. Air embolus (B) is not a common complication of intraosseous infusion.

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?

Accepted Answer

I.V. administration of medications provides instant drug action, a route for irritating substances, and better control of drug administration as it directly enters the bloodstream. It also allows for the administration of larger volumes of fluids and medications. However, there is a higher risk of adverse effects, such as infection and fluid overload, and it requires specialized training and equipment.

Question 7

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

Accepted Answer

The answer of A perioperative nurse is educating surgical clients...

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?

Accepted Answer

The answer of When preparing to piggyback an antibiotic to...

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:

Accepted Answer

Incompatibilities that may occur when two drugs are compounded include physical incompatibilities (such as precipitation or discoloration), chemical incompatibilities (such as degradation or hydrolysis of one or both drugs), and therapeutic incompatibilities (such as antagonistic effects or reduced effectiveness).

Question 10

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

Accepted Answer

Alcohol is contraindicated for use when caring for epidural catheters as it can dissolve the catheter material and lead to catheter fragmentation or embolism.

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?

Accepted Answer

The nondominant hand should stabilize the port of the locking device while the dominant hand pierces the resealable lock port to prevent accidental dislodgement of the lock. Holding a watch with a second hand is not necessary for this procedure. Wiping the insertion site with an alcohol swab for 15 seconds and applying pressure over the catheter insertion site are actions that should be taken before and after the medication administration, respectively.

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?

Accepted Answer

Needleless systems, such as IV catheters with closed injection ports, eliminate the need for needles altogether and greatly decrease the risk of needlestick injuries. Luer locks, elastomeric pumps, and three-way stopcocks are not needleless systems and do not eliminate the risk of needlestick injuries.

Quiz 10: Infusion Medication Safety, Methods, and Routes