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concept of nursing 2
Administration of parenteral medication:intravenous medication: lesson 2
Question | Answer |
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Which of the following is a correct sequence for administering a medication by IV bolus through a saline lock? | Clean injection port, insert syringe of normal saline, aspirate for blood return, and flush with saline. Remove syringe, clean port, administer medication over recommended period, withdraw syringe, clean port, |
-- | and flush port with normal saline at same rate as medication administration. |
What additional supplies are required for administering a medication by IV bolus through a saline lock versus an existing infusion of IV fluids? | Two syringes with 2 to 3 mL of normal saline. |
Order: Lorazepam (Ativan) 6 mg, IV, q6h, as needed Medication available: Lorazepam (Ativan) 4 mg per mL Drug reference: IV maximum infusion rate 2 mg per minute How much medication would you administer? mL | 1.5 ml |
Order: Lorazepam (Ativan) 6 mg, IV, q6h, as needed Medication available: Lorazepam (Ativan) 4 mg per mL Drug reference: IV maximum infusion rate 2 mg per minute At what rate should this medication be administered? IV over minutes. | 3 |
A patient with a saline lock has the following order: hydromorphone 2 mg IV push q3h prn pain. Hydromorphone: Dilute with at least 5 mL of sterile water or 0.9% NaCl for injection. Administer slowly, at a rate not to exceed 2 mg over 3 to 5 minutes. | -- |
Which of the following actions if performed by the nurse would require correction? | -The nurse cleans the injection port with an antiseptic swab, flushes the IV lock, and inserts the needleless tip of prepared medication syringe through injection port of IV lock. |
-- | --The nurse flushes the IV injection port with 2 to 3 mL of normal saline over 30 seconds following medication administration. |