IV Medication Administration & Management 2

Question 1

A patient is ordered vancomycin 1g IV over 60 minutes. After 10 minutes, the patient develops flushing and erythema on the neck and face. What is the most likely cause?

Accepted Answer

Red Man Syndrome due to rapid infusion rate

Answer

Red Man Syndrome is a non-allergic infusion reaction caused by too-rapid vancomycin infusion, presenting as flushing and erythema on the face, neck, and upper torso.

Question 2

When reconstituting a powdered medication for IV administration, which action is most appropriate?

Accepted Answer

Inject diluent directly onto the powder and gently swirl

Answer

Diluent should be injected onto the powder and the vial gently swirled to prevent foaming and ensure proper dissolution without damaging the medication.

Question 3

A nurse is preparing to administer an IV piggyback (IVPB) antibiotic. The primary line is running NS at 100 mL/hr. What must be verified before hanging the IVPB?

Accepted Answer

The IVPB bag must hang higher than the primary bag for gravity flow

Answer

The IVPB bag must be hung higher than the primary bag so gravity preferentially infuses the piggyback medication, allowing the primary line to resume automatically when the IVPB is complete.

Question 4

Which IV medication requires protection from light during administration?

Accepted Answer

Nitroprusside sodium

Answer

Nitroprusside sodium is highly photosensitive and must be wrapped in opaque material during administration to prevent degradation and toxic cyanide byproduct formation.

Question 5

A patient receiving IV morphine via PCA pump reports inadequate pain control. The nurse notes the PCA has a 4-hour lockout limit. What is the correct next step?

Accepted Answer

Contact the prescriber to reassess and potentially modify the PCA order

Answer

The nurse must contact the prescriber to reassess pain management and obtain a modified order; independently overriding PCA lockouts or giving unauthorized boluses is unsafe practice.

(IV) Intravenous Therapy Certified Practice Test

(IV) Intravenous Therapy Certified Practice Test

IV Medication Administration & Management 2