Hanging an IV Piggyback

The nurse is caring for a client with an order for the following secondary infusions: heparin at 30 cc/hr, and nitroglycerin at 1.5 mL/hr. The client calls the nurse and complains of a headache. The nurse enters the room to find that the secondary rates have been mixed up, and the heparin is running at 1.5 mL/hr, while the nitroglycerin is running at 30 cc/hr. The nurse immediately stops both infusions. What is the next priority action for the nurse?

The nurse is caring for a client who has a primary infusion of heparin running at 1,500 units/hr (15 mL/hr) on a smartpump. The provider orders a magnesium rider piggybacked at 25 mL/hr. Which of the following is the most appropriate way to set up this infusion?

The student nurse observes which supplies the nurse gathers to set up a secondary infusion. The supplies include a plastic extension arm with a hook on both ends. The student nurse correctly states which of the following as the correct purpose for this?

The nurse has verified the order, gathered supplies, and primed the tubing for IV cefepime due at 1000. After following the 6 rights of medication administration, the nurse attaches the tubing and scans it into the computer to start the infusion. The nurse returns at 1030 to discover that the secondary bag is still full of medication, and the pump was never started. What action should the nurse take next?

The student nurse is reviewing IV tubing principles with the preceptor. The student is correct in stating which of the following as the biggest risk to connecting and disconnecting secondary tubing multiple times?

A student nurse is watching the nurse preceptor set up a secondary infusion. The student notes that after pushing the “start” button on the pump, the nurse takes a moment to look at the drip chamber. Which of the following is the reason for this?

A client in DKA has an order for an insulin infusion at 5 units per hour. The nurse is setting up IV insulin, 100 units/100 mL as a secondary line, with D10W as the primary infusion. The nurse follows the 6 rights of medication administration, clamps the secondary tubing, spikes the insulin bag, squeezes the chamber until it is ⅔ full, and slowly opens the roller clamp to prime the tubing. The nurse then cleanses the Y-port closest to the client and connects the secondary tubing, ensuring the bag is hanging above the primary infusion. The pump is programmed to run the secondary infusion at 5 mL per hour, so the nurse starts the pump. Which statement correctly describes what is wrong with this situation?

A nurse is starting a day shift in the intensive care unit. The client has a maintenance infusion, as well as 5 IV piggyback medications. How should the nurse verify that the correct medications are infusing appropriately with this client?

A nurse is administering an IV medication as a piggyback to a standard IV infusion using a smart IV pump. Which of the following is a true statement regarding smart IV pumps? Select all that apply.

The nurse is caring for a client with an order to administer IV insulin and heparin. Which of the following actions is the best way to prevent a medication error with these high-alert medications?