NursingPlex
    Sign In
    ATI RN Pharmacology 2023 IV proctored exam

    A nurse is preparing to administer an antibiotic via intermittent IV bolus to a client who is already receiving an infusion of 0.9% sodium chloride at 100 mL/hr. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. This is a good practice in medication administration, especially for high-risk medications like antibiotics. Having another nurse verify the medication can help prevent errors, ensuring that the right drug, dose, and administration route are followed. However, this action is not specific to the steps needed to administer the IV bolus. B. Hanging the secondary infusion higher allows gravity to assist in the flow of the antibiotic solution into the IV line while ensuring that the primary infusion continues to flow simultaneously. This is a standard practice for administering intermittent IV medications. C. It is not necessary to disconnect the primary IV infusion completely unless it is specifically indicated by the healthcare provider or hospital protocol. Interrupting the continuous infusion briefly to administer the antibiotic bolus and then resuming the primary infusion afterward is a common practice. This approach maintains continuous hydration and avoids unnecessary manipulation of the IV line. D. Flushing with sterile water or saline before connecting the antibiotic bolus can help maintain the integrity of the IV line and prevent contamination. However, the type of flush solution (sterile water vs. saline) may depend on hospital policy or specific clinical circumstances.

    🔒 Submit your answer to reveal