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Discussion

Basic nursing questions

Greetings,

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!

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    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 :)

    I originally liked D for both, but I can see where B was correct. I would like it better if it was worded as checking patency instead of blood return though.

    But your rationale for B is a little off. Doctors will many times order a broad spectrum antibiotic for patients while awaiting the results of a culture. They will then look at the culture and change to a different antibiotic if needed. The culture would definitely need to be collected before starteing the abx as they could skew the results of the culture.

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