1 is definately D. Gotta know the bug to fight before you just give a ABX. I know you can give broad spec, but you at least need a Cx to justify giving an ABX.
2 B or D. you need to know patency, but more important you don't want to give to fast. Can't get back what's given........just my
Specializes in ICU, PICU, School Nursing, Case Mgt.
I agree that all of the above is the best answer-that not being a choice=
They are both D.
Unless the Dr. is treating an infection empirically, a culture and sensitivity needs to be drawn before the first antibiotic dose.
You always want to know the rate at which it is safe to push each med really bad things can happen if you push too fast...if you have a continuous IV running and it does not appear to be infiltrated, then you do not need to check for a blood return.
If you are pushing through a saline lock you will flush with NS first to see if it is patent and to clear the line. You will not necessarily get a blood return even if the IV is patent.
Those of you who answered B for question 2, if you are experienced nurses, do you seriously check for blood return before pusing meds? Do you hold the med if you don't get blood back? As was already posted, you may or may not get blood return with a patent IV, so as long as it is patent, meds can be pushed. BUT, pushing a med too fast can be dangerous; thus, it is more important to know the rate to push a med than to get blood return.
Those of you who answered B for question 2, if you are experienced nurses, do you seriously check for blood return before pusing meds? Do you hold the med if you don't get blood back? As was already posted, you may or may not get blood return with a patent IV, so as long as it is patent, meds can be pushed. BUT, pushing a med too fast can be dangerous; thus, it is more important to know the rate to push a med than to get blood return.
Am assuming these are NCLEX questions. NCLEX is not about what you do in the hospital (this is why people fail the NCLEX). NCLEX is about text book nursing. Its about the "perfect world" where there's perfect staffing, perfect hospital, perfect everything. So yes we don't always check for blood return when pushing IV meds but this the text book way of verifying patency of IV. I always just flush the IV then push meds slowly then flush the IV.
Am assuming these are NCLEX questions. NCLEX is not about what you do in the hospital (this is why people fail the NCLEX). NCLEX is about text book nursing. Its about the "perfect world" where there's perfect staffing, perfect hospital, perfect everything. So yes we don't always check for blood return when pushing IV meds but this the text book way of verifying patency of IV. I always just flush the IV then push meds slowly then flush the IV.
You are absolutely correct about "real world" nursing vs "textbook nursing," but you also have to be careful not to read too much into these questions. This question asks about blood return, not patency. And since you can have no blood return with a patent IV, blood return is not important in this scenario, but knowing how fast to push meds is.
I am looking for answers to some of the same questions. I think we are taking the same test. I too, am having difficulty with several questions on this test. Would you like to compare notes?
I'm new to the site, but I need some help. Here are two basic questions I need help with:
1) Before administering the first dose of an antibiotic, you should:
a) Check the result of WBC
b) Inform patient of side effects
c) Check for patent IV
d) Determine if culture and sensitivity has been ordered and collected
2) Which of the following is the most important consideration when administering a drug via IV push?
a) Use a medium gauge needle or needleless cannula
b) check for blood return in the IV line
c) Consider the diluents used to reconstitute the medication
d) Check the recommended rate for administering each bolus medication.
The questions are pretty basic, but I just want to make sure I'm headed in the right direction.
Thank you kindly!
I would choose B and D and here are my reasons. I am a student so I only know "text book" world.
B- Before administering the first dose of an antibiotic you'd need to check to make sure the IV was patent. If you are about to administer the antibiotic then the doctor has ordered this antibiotic based on the results of the culture and sensitivity test or how else would he know which antibiotic to order?
D- D is asking about the drug, what's the most important thing to do when administering an IV push, which would be knowing how fast to administer the drug.
Those are my rationals. I'd love to know if I'm right/wrong and why if anyone knows :)
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ICURNGUY
64 Posts
1 is definately D. Gotta know the bug to fight before you just give a ABX. I know you can give broad spec, but you at least need a Cx to justify giving an ABX.
2 B or D. you need to know patency, but more important you don't want to give to fast. Can't get back what's given........just my