NCLEX-PN

D.​ Mix a small amount of the medication in a small amount of the intravenous fluid and then examine this mixture for any precipitates Correct Response: B Explanation : The best way to determine whether or not a medication is compatible for a particular intravenous fluid is to refer to a compatibility chart. Although, at times, incompatibility can be evidenced with changes such as those related to color changes and the formation of a cloudy solution or obvious precipitate, at other times, incompatibility may not be noticeable. For this reason, nurses must refer to a compatibility or incompatibility chart before they mix medications or medications and solutions. Lastly, there is no need to call the doctor for compatibility when you have and should use a compatibility chart. (See Recognizing Actual and Potential Incompatibilities of Prescribed Client Medications ) 4.​ Select the complication of intravenous therapy that is accurately paired with one of its interventions. A.​ Infection: Lowering the limb to promote circulation B.​ Infiltration: The application of cold to the site C.​ Extravasation: The aspiration of contents including blood from the IV cannula D.​ Hematoma: The administration of dexrazoxane Correct Response : C Explanation : In addition to other interventions, intravenous fluid contents including blood are aspirated from the IV cannula. Other interventions include immediate cessation of the infusion, elevating the limb, applying warm compresses initially to rid the area of any remaining drug that is in the tissues which is then followed by cool compresses to reduce any swelling, and the administration of an ordered substance specific medication such as dexrazoxane. One of the interventions for infection include the elevation, not lowering, of the affected limb; infiltration is treated with the application of warm, not cold, compresses and one of the interventions for hematoma is the application of pressure and heat and not the administration of dexrazoxane. (See Evaluating the Client's Response to Intermittent Parenteral Fluid Therapy ) 5.​ Place these steps of the reconciliation process in the correct sequential order from #1 to #5. Do NOT include steps that are not part of the medication reconciliation process. #1: Compile a list of newly prescribed medications and other preparations. #2: Compile a list of current medications and other preparations. #3: Compile a list of only current vitamins, over-the-counter medications, herbal remedies, nutritional supplements, and dietary supplements. #4: Compare two lists and make note of any discrepancies or inconsistencies. #5: Employ critical thinking and professional judgments during the comparisons of the two lists. #6: Communicate and document the new list of medications with the appropriate healthcare providers.

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