IV Medication Administration & Management 3

Question 1

A patient's IV site shows coolness, pallor, and swelling around the insertion site. The infusion pump does not alarm. What condition is present?

Accepted Answer

Infiltration

Answer

Infiltration occurs when IV fluid leaks into surrounding tissue, causing coolness, pallor, and swelling; pumps often do not alarm with infiltration because resistance is low in soft tissue.

Question 2

Which statement about IV push (IVP) medication administration is correct?

Accepted Answer

Rate of IVP administration is medication-specific and must be verified in a drug reference

Answer

Each IVP medication has a specific safe administration rate that must be verified in a drug reference, as giving too rapidly can cause adverse effects including cardiac arrhythmias.

Question 3

A patient is receiving IV amphotericin B. Which premedication strategy is commonly used to reduce infusion-related reactions?

Accepted Answer

Premedication with acetaminophen, diphenhydramine, and hydrocortisone

Answer

Acetaminophen, diphenhydramine, and hydrocortisone are commonly given as premedications before amphotericin B to reduce fever, chills, and rigors associated with infusion.

Question 4

When titrating a vasopressor infusion, a nurse should primarily adjust the rate based on which parameter?

Accepted Answer

Mean arterial pressure (MAP) per the prescribed target

Answer

Vasopressor titration is guided by achieving the prescribed MAP target, as MAP reflects end-organ perfusion pressure and is the primary hemodynamic goal.

Question 5

A nurse discovers two IV bags labeled with the same patient name but different medication concentrations. What is the priority action?

Accepted Answer

Hold both bags and verify the correct order with the pharmacy and prescriber

Answer

When medication discrepancies exist, both bags must be held while the nurse clarifies the correct concentration with pharmacy and the prescriber to prevent a medication error.

(IV) Intravenous Therapy Certified Practice Test

(IV) Intravenous Therapy Certified Practice Test

IV Medication Administration & Management 3