IV Medication Administration & Management

Question 1

What is the first step in preparing a medication for intravenous administration?

Accepted Answer

Reading the medication order.

Answer

The very first and most critical step in preparing any medication, especially for IV administration, is to accurately read and interpret the medication order. This ensures the correct drug, dose, route, time, and patient are identified, preventing potential errors before any physical preparation begins and adhering to the 'five rights' of medication administration.

Question 2

Which of the following is a common complication associated with IV medication administration?

Accepted Answer

Phlebitis and thrombophlebitis.

Answer

Phlebitis, which is inflammation of the vein, and thrombophlebitis, inflammation with clot formation, are common local complications of IV medication administration. These can be caused by irritation from the IV catheter, the medication itself, or infection, leading to pain, redness, and swelling at the insertion site.

Question 3

What is the correct procedure for flushing an IV line after medication administration?

Accepted Answer

Flush with a saline solution immediately after administration.

Answer

Flushing an IV line with a compatible solution, typically normal saline, immediately after medication administration is essential. This clears the medication from the tubing, prevents drug incompatibilities if other medications are to follow, and maintains the patency of the IV catheter, reducing the risk of occlusion.

Question 4

Why is it important to monitor for signs of extravasation during IV medication administration?

Accepted Answer

To prevent tissue necrosis.

Answer

Extravasation occurs when an IV medication, especially a vesicant (a drug that can cause blistering and tissue damage), leaks out of the vein and into the surrounding subcutaneous tissue. Monitoring for this is crucial because extravasation can lead to severe tissue damage, including necrosis (tissue death), requiring extensive treatment or even surgery.

Question 5

What should you do if you encounter a medication error during IV administration?

Accepted Answer

Notify the healthcare provider and document the error.

Answer

If a medication error occurs during IV administration, the immediate priority is patient safety. The nurse must promptly notify the healthcare provider to assess the patient and determine appropriate interventions. Thorough documentation of the error, the patient's response, and actions taken is also vital for patient care and system improvement.

(IV) Intravenous Therapy Certified Practice Test

(IV) Intravenous Therapy Certified Practice Test

IV Medication Administration & Management