Author Question: A nurse is preparing an intravenous IV piggyback infusion. In which order will the nurse perform the ... (Read 93 times)

joblessjake · **on:** Jul 22, 2018

A nurse is preparing an intravenous IV piggyback infusion. In which order will the nurse perform the steps, starting with the first one?

1. Compare the label of the medication with the medication administration record at the patient's bedside.
2. Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port.
3. Hang the piggyback medication bag above the level of the primary fluid bag.
4. Clean the main IV line port with an antiseptic swab.
5. Connect the infusion tubing to the medication bag.
6. Regulate flow.
a. 5, 2, 1, 4, 3, 6
b. 5, 2, 1, 3, 4, 6
c. 1, 5, 4, 3, 2, 6
d. 1, 5, 3, 4, 2, 6

Question 2

A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. When will the nurse perform the second accuracy check?

a. At the patient's bedside
b. Before going to the patient's room
c. When checking the medication order
d. When selecting medication from the unit-dose drawer

onowka · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
When preparing and administering IV piggybacks, use the following steps: Compare the label of medication with the medication administration record at the patient's bedside; connect the infusion tubing to the medication bag; hang the piggyback medication bag above the level of the primary fluid bag; clean the main IV line port with an antiseptic swab; connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port; and regulate flow.

Answer to Question 2

ANS: B
Before going to the patient's room, compare the patient's name and name of medication on the label of prepared drugs with MAR for the second accuracy check. Selecting the correct medication from the stock supply, unit-dose drawer, or automated dispensing system (ADS) is the first check. The third accuracy check is comparing names of medications on labels with MAR at the patient's bedside. Checking the orders is not one of the three accuracy checks but should be done if there is any confusion about an order.