NUR105 M1.8: ATI Skills Modules-Virtual Scenarios: Intravenous Medication Administration
Here are the questions and answers related to the ATI Skills Modules-Virtual Scenarios for Intravenous Medication Administration:
A nurse is caring for a client who is receiving dextrose 5% water with 20 mEq of potassium chloride at 75 mL/hr. The provider has prescribed 1 g ceftriaxone IV. When preparing to administer this medication by intermittent IV bolus, which of the following actions should the nurse take first?
Answer: The first action the nurse should take is to verify the medication’s compatibility with the primary IV solution to prevent the risk of injury from precipitate in the IV solution.
A nurse is caring for a client who was admitted to the hospital for same surgery and has a new prescription for continuous IV therapy. Which of the following actions should the nurse take when administering IV therapy?
Answer: The nurse should inspect the IV solution for fluid color, clarity, and expiration date. All IV solutions must be free of contaminants and particles and current for usage.NUR105 M1.8: ATI Skills Modules-Virtual Scenarios
A nurse is preparing to administer ceftriaxone 1 g in 100 mL IV over 30 minutes. The drip rate is 10 gtt/mL. The nurse should set the infusion rate to administer how many gtt/min?
Answer: The nurse should set the infusion rate to administer 33 gtt/min.
A nurse is assessing a client who is receiving 0.9% sodium chloride IV at 125 mL/hr. Which of the following should the nurse recognize as a possible complication related to the IV therapy?NUR105 M1.8: ATI Skills Modules
Answer: The nurse should recognize that a client reporting coughing and shortness of breath can be a manifestation of fluid overload. In such cases, the nurse should slow the IV and notify the provider.
A nurse is caring for a client who is receiving 0.9% NaCl IV at 75 mL/hr through a triple lumen central venous access device. The IV pump alarm sounds, indicating that there is an occlusion. Which of the following actions should the nurse take first?
Answer: The first action the nurse should take is to check the IV line at or above the hub for kinked tubing that is creating a resistance to flow. This is the most likely problem and should be addressed first.
A nurse is preparing to administer an IV medication to a client. The nurse should identify that which of the following is a disadvantage of administering IV medication?
Answer: The nurse should identify that IV medications are irreversible. Once an IV medication has been injected, it cannot be retrieved. If the dose is excessive or the client is allergic, the consequences can be fatal.NUR105 M1.8: ATI Skills Modules
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line. The nurse should identify that which of the following information is true about this type of IV route?
Answer: The nurse should identify that a PICC line is a long catheter inserted through the veins of the antecubital fossa. PICC lines have lower complication rates because they are inserted in the upper extremity.
A nurse administers the first dose of a client’s prescribed antibiotic via intermittent IV bolus. During the first 10-15 min of administration, which of the following assessments is the nurse’s priority?NUR105 M1.8: ATI Skills Modules
Answer: The nurse’s priority assessment is to assess the client for a systemic allergic reaction during the first 10-15 minutes of IV antibiotic administration, as the greatest risk is anaphylaxis. Clients can experience a systemic allergic reaction rapidly with IV antibiotics, so close monitoring is essential.
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