A nurse is caring for a client undergoing intravenous (IV) ...

[Bernana]

A nurse is caring for a client undergoing intravenous (IV) therapy. The nurse knows that intravenous (IV) administration of medication is particularly appropriate in which of the following situations?
 
  A) When the client has disorders that affect the absorption of medications
  B) When the drug needs to act on the client very slowly
  C) When the client wants to avoid the discomfort of an intradermal injection
  D) When the drug needs to be administered only once

Question 2

A client with anemia has been admitted to the emergency department and has had two units of packed red blood cells ordered.
 
  How will the intravenous administration of this blood product differ from the administration of other commonly used IV solutions? A) The nurse must use Y-set tubing coupled with normal saline to administer the blood.
  B) The nurse must administer the blood with an electronic IV pump and not by gravity.
  C) The nurse must administer the blood cells at a rate of between 150 and 200 ml/h.
  D) The nurse must insert a 24- to 26-gauge IV catheter in order to administer the blood.

[ultraflyy23]

Answer to Question 1

A
Feedback:
IV administration may be chosen when clients have disorders, such as severe burns, that affect the absorption and metabolism of medications. IV therapy is also used in an emergency when a quick response is needed. IV administration is not chosen when a client wants to avoid the discomfort of an intradermal injection but rather when the client may want to avoid the discomfort of repeated intramuscular injections. A single administration of a drug does not necessarily indicate the need for IV administration.

Answer to Question 2

A
Feedback:
Blood is administered through tubing referred to as a Y-set. Two branches are at the top of the tubing; one is used to administer normal saline solution, the other to administer blood. An 18-gauge catheter is normally used and the rate is determined by the primary care provider. An electronic pump is not a necessity in all settings.