N5451 Skills Lab Video Quizzes - Module 6 Intravenous Medication
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N5451 Skills Lab Video Quizzes - Module 6 Intravenous Medication 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 twistin...
N5451 Skills Lab Video Quizzes - Module 6
Intravenous Medication
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. When administering a piggyback infusion, the nurse
would attach the infusion tubing to the medication container by inserting the tubing spike
into the port with a firm pushing and twisting motion, taking care to avoid contaminating
either end.
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 would hang the
piggyback container on the same IV pole, positioning it higher than the primary IV
solution according to manufacturer's recommendations. The position of containers
influences the flow of IV fluid into the primary setup.
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. Priming the tubing ensures that no air enters the
client.
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 correct order for these
procedure steps is (1) squeeze the drip chamber of the tubing and release, (2) open the
clamp and prime the tubing, (3) close the clamp and place a needleless connector on
end of the tubing, and (4) use an antimicrobial swab to clean the access port or
stopcock above the roller clamp on the primary IV 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. When administering a
piggyback IV medication, it is imperative that the nurse check to make sure that the
prescribed medication is compatible with the continuous infusion to prevent the risk of
injury. There is no need to readjust the flow rate of the continuous infusion. Rather the
, nurse would ensure that the piggyback medication is infusing at the correct rate. The
nurse should be knowledgeable about the medication to be administered and any
potential adverse effects. The nurse would typically consult a drug reference. If
additional information is needed, the nurse could check with the pharmacy. Clean,
disposable gloves, not sterile gloves, are used.
The nurse is preparing to backprime by gravity. Place in order, from first to last, the
actions the nurse will perform. Use all options.
Close the roller clamp on the tubing. Spike the new bag. Hang the spiked bag on the IV
pole. Compress the drip chamber and allow it to fill about halfway full. Connect the
secondary bag to the primary bag at the appropriate port. When preparing to backprime
a secondary tubing by gravity, the nurse should first close the roller clamp on the tubing
to prevent any accidental loss of medication, then spike the new bag and hang it on the
IV pole. Then the nurse should compress the drip chamber and allow the drip chamber
to become about half full. The nurse should then open the roller clamp carefully and
prime the rest of the tubing, close the clamp again, connect the tubing to the appropriate
port, and then unclamp the roller clamp and begin the infusion at the prescribed rate.
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 for any kinks in the tubing. Check the connections and ensure they are secure.
Ensure the roller clamp is open. Assess the IV insertion site. To troubleshoot when an
IV is not infusing, the nurse should check the tubing for any kinks that may be impeding
flow, ensure the client is not lying on the tubing, check any connections to ensure they
are secure ensure the roller clamp is in open position and assess the IV insertion site
for any complications. The client's position will not affect the infusion.
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. The nurse would first check the tubing
for kinks, blockages, and pressure points. The nurse would then adjust the roller clamp
and the infusion rate, if necessary. The health care provider would not be notified in this
situation.
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. If the
piggyback IV infusion does not infuse, the nurse would make sure the connections are
tight and the clamps are open and make sure the piggyback infusion bag is higher than
the primary infusion bag. If the IV is in the wrist or antecubital fossa, the nurse would
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