Question

"A nurse is preparing to administer an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion. After confirming compatibility, which of the following actions should the nurse take? A. Use the injection port farthest from the IV catheter insertion site B. Occlude the IV tubing above the injection port C. Check for blood return after medication administration D. Flush the IV tubing with a heparinized solution"

Answer 1

The nurse should use the injection port closest to the IV catheter insertion site and check for blood return after administering an IV bolus of albumin 5%, but may not need to flush the tubing with a heparinized solution unless hospital protocol for that specific situation indicates such a need.

Step-by-step explanation:

When administering an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion, after confirming compatibility, several steps should be taken by the nurse for safe and effective medication administration. One key action is to use the injection port closest to the IV catheter insertion site, this ensures that the bolus is delivered quickly into the bloodstream and does not linger in the tubing, which could be problematic.

Checking for blood return after medication administration is crucial to ensure that the IV line is still patent and functioning properly, and not infiltrated or occluded. As for the option of flushing the IV tubing with a heparinized solution, this is generally done to prevent clot formation in certain types of lines, such as central venous catheters, but it is not standard practice after administering an IV bolus in all situations, so it may not be necessary unless specified for that particular client or catheter type. The nurse should follow hospital protocols and evidence-based practices for IV bolus administration.

Answer 2

The correct answer is B.) When administering an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion, the nurse should occlude the IV tubing above the injection port.

Step-by-step explanation:

When administering an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion, the nurse should take the following action: B. Occlude the IV tubing above the injection port.

Occluding the IV tubing above the injection port prevents any additional fluid from entering the patient's bloodstream during the bolus administration. This ensures that the full bolus dose of albumin 5% is delivered accurately. After administering the bolus, the nurse should resume the continuous IV infusion as ordered.