A nurse is preparing an intravenous (IV) piggyback infusion. In which order will the nurse perform the steps, starting with the first one? 1. Compare the label of the medication with the medication administration record at the patient's bedside. 2. Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port. 3. Hang the piggyback medication bag above the level of the primary fluid bag. 4. Clean the main IV-line port with an antiseptic swab. 5. Connect the infusion tubing to the medication bag. 6. Regulate flow.

Correct Answer: D

Rationale: When preparing and administering IV piggybacks, use the following steps: Compare the label of medication with the medication administration record at the patient's bedside; connect the infusion tubing to the medication bag; hang the piggyback medication bag above the level of the primary fluid bag; clean the main IV-line port with an antiseptic swab; connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port; and regulate flow.

Correct Answer: C

Rationale: Fasting (NPO) prevents aspiration of stomach contents during anaesthesia, a life-threatening risk.

Correct Answer: A

Rationale: The Centrally Stored Medication Record (e.g., LIC 622) must document all centrally stored medications to track usage and ensure accountability, per CCL guidelines.

Correct Answer: D

Rationale: Forcing medication is unethical and illegal. The physician should be notified promptly (not delayed 14 days) to reassess, making none of the options fully correct; however, D aligns with rejecting A-C.

Correct Answer: A

Rationale: Opioid tolerance is characterized by needing higher doses over time to achieve the same pain relief due to reduced receptor sensitivity.