Administering IV Fluids To A Patient Discussion Paper
When using an intravenous (IV) pump to infuse IV fluids, which action would the nurse perform to ensure that the secondary IV infuses as prescribed? Using microdrop tubing Ensuring that all clamps are open Decreasing the rate of the primary IV infusion Using a controlled volume set for the primary IV infusion
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Answer:-
The correct option is d)Using a controlled volume set for the primary IV infusion.
Explanation:
When administering IV fluids to a patient, it is important to ensure that the fluids are delivered in the right amount and at the right rate. One common scenario in which this can be challenging is when a patient requires multiple IV infusions simultaneously. For example, a patient may need to receive antibiotics through one IV line and fluids through another IV line.
In this situation, it is essential to ensure that the secondary IV infuses at the prescribed rate to avoid any adverse effects on the patient. To accomplish this, the nurse would need to use a controlled volume set for the primary IV infusion.
A controlled volume set is a type of IV tubing that is used to administer IV fluids at a precise rate. It includes a chamber that can be filled with a specific volume of fluid, which allows the nurse to measure the amount of fluid infused accurately. By using a controlled volume set for the primary IV infusion, the nurse can monitor the amount of fluid delivered to the patient and ensure that the secondary IV infuses as prescribed.
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Other options:-
Here are the reasons why the other options listed in the question are incorrect:
a) Using microdrop tubing: Microdrop tubing is a type of IV tubing that is used to administer small amounts of fluid over a long period. While it can be helpful in certain situations, such as when administering medication or fluid to a pediatric patient, it is not the best option for ensuring that the secondary IV infuses as prescribed. Microdrop tubing does not provide a precise measurement of the amount of fluid delivered, which can make it difficult to monitor and adjust the infusion rate as needed. Administering IV Fluids To A Patient Discussion Paper
b) Ensuring that all clamps are open: Ensuring that all clamps are open is an important step when administering IV fluids to a patient, as it allows the fluid to flow through the tubing and into the patient’s vein. However, simply opening all the clamps does not guarantee that the secondary IV infuses as prescribed. This is because the rate of the primary IV infusion may be too fast, which can cause the secondary IV to infuse at a higher rate than prescribed.
c) Decreasing the rate of the primary IV infusion: Decreasing the rate of the primary IV infusion may be a helpful intervention in some situations, such as when the patient is receiving too much fluid or medication. However, if the patient needs the primary IV infusion to be delivered at a specific rate, decreasing the rate may not be the best option. Additionally, decreasing the rate of the primary IV infusion does not directly address the issue of ensuring that the secondary IV infuses as prescribed.
In summary, while these interventions may be helpful in certain situations, using a controlled volume set for the primary IV infusion is the best option for ensuring that the secondary IV infuses as prescribed.
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Final answer
To ensure that the secondary IV infuses as prescribed, the best action a nurse can take is to use a controlled volume set for the primary IV infusion. This type of IV tubing allows for a precise measurement of the amount of fluid infused into the patient, which helps to monitor and adjust the infusion rate as needed. Other interventions such as using microdrop tubing, ensuring that all clamps are open, or decreasing the rate of the primary IV infusion may be helpful in certain situations, but they do not directly address the issue of ensuring that the secondary IV infuses as prescribed.
Therefore the correct option is D) Using a controlled volume set for the primary IV infusion. Administering IV Fluids To A Patient Discussion Paper