A nurse is planning to administer medications to a client who has trigeminal neuralgia.
Which of the following medications should the nurse plan to administer to manage the client's pain?

Choice A rationale:

Hanging the antibiotic medication bag above the level of the primary infusion is an important step in administering an antibiotic via intermittent IV bolus. However, it is not the first step. The medication bag is usually hung higher to allow the antibiotic to infuse by gravity once it’s connected.

Choice B rationale:

Wiping the connection port of the primary IV tubing with an antiseptic swab is a crucial step in preventing infection. However, this is typically done just before connecting the secondary line, not as the first step.

Choice C rationale:

Checking the IV site for signs of infiltration is indeed the first step. It’s important to ensure that the IV catheter is still properly placed in the vein and that there are no signs of infection or infiltration, which could cause complications.

Choice D rationale:

Connecting the tubing of the medication bag to the primary tubing is done after cleaning the port and before hanging the bag. It’s not the first step.

Choice A rationale:

Spreading the ointment in a 10 cm² (4 in) area is not the recommended method for nitroglycerin ointment application. The ointment should be applied over a 6x inch area in a thin, uniform layer.

Choice B rationale:

Massaging the ointment into the skin is not advised. The ointment should be applied in a thin layer and left to absorb into the skin.

Choice C rationale:

Applying the ointment in a thick layer is not recommended. A thin, uniform layer is sufficient for therapeutic effect.

Choice D rationale:

Covering the administration area with plastic wrap is the correct action. This helps to keep the ointment in place and enhances absorption.