Final answer:
The priority nursing intervention when administering an intravenous piggyback medication is to verify medication, dosage, and compatibility with existing IV fluids, and ensure that a checklist is followed to enhance patient safety. Normal saline and lactated Ringer's solution are preferred for their isotonic properties, and the nurse's oversight is essential for maintaining sterile procedures and monitoring patient vital signs during treatment.
Step-by-step explanation:
The priority nursing intervention when preparing to administer an intravenous piggyback medication to a client who is receiving a continuous infusion of intravenous (IV) fluids is to verify the proper medication, dosage, and infusion rate. Additionally, the nurse must ensure compatibility of the piggyback medication with the ongoing IV fluids, and verify that the IV line is patent and not infiltrated. Using a checklist, similar to that proposed by Dr. Pronovost for ICU doctors, could help ensure all critical steps are followed accurately. This reduces the risk of complications and enhances patient safety.
When administering fluids via an intravenous route, solutions like normal saline and lactated Ringer's solution are commonly used because they are isotonic; this is critical to ensure that the administered solutions do not cause an imbalance in the patient's osmotic pressure, which could otherwise lead to cellular damage or dysfunction.
In health-care settings, the direct supervision of a registered nurse and adherence to sterile procedures is crucial during the preparation and delivery of treatments, like dialysis, IV medications, and the administration of specific electrolytes such as potassium in scenarios like hypokalemia. The nurse’s role includes monitoring patient vital signs and responding to needs during treatment, which are part of maintaining patient safety and care quality.