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    ATI PN Pharmacology 2020 Proctored Exam

    A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion.Which of the following steps should the nurse take first?

    Explanation & Rationale

    Choice A rationale:Hanging the antibiotic medication bag above the level of the primary infusion is an important step in administering an antibiotic via intermittent IV bolus. However, it is not the first step. The medication bag is usually hung higher to allow the antibiotic to infuse by gravity once it’s connected.Choice B rationale:Wiping the connection port of the primary IV tubing with an antiseptic swab is a crucial step in preventing infection. However, this is typically done just before connecting the secondary line, not as the first step.Choice C rationale:Checking the IV site for signs of infiltration is indeed the first step. It’s important to ensure that the IV catheter is still properly placed in the vein and that there are no signs of infection or infiltration, which could cause complications.Choice D rationale:Connecting the tubing of the medication bag to the primary tubing is done after cleaning the port and before hanging the bag. It’s not the first step.

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