Michigan Nursing Home Administrator (NHA) Practice Exam

Who is allowed to start parenteral fluid administration?

1. Physician or registered nurse

2. Nurse or nurse aide

3. Physician or pharmacist

4. Registered nurse or medical assistant

The correct answer is: Physician or registered nurse

Parenteral fluid administration involves delivering fluids directly into a patient's bloodstream through an intravenous (IV) line. This procedure typically requires a skilled assessment of the patient's needs, knowledge of medication interactions, the choice of appropriate fluids, and the monitoring of the patient's response. These responsibilities necessitate a higher level of training and expertise. A physician is equipped with the medical knowledge necessary to determine whether parenteral fluids are needed, what type of fluids to administer, and at what rate. Registered nurses, with their extensive training in patient care, medication administration, and IV therapy, are authorized to start and manage IV fluid administration. Their training includes understanding the techniques and protocols for proper insertion, monitoring for complications, and providing patient education regarding the process. Considering these factors, the correct choice highlights the professions that possess the requisite knowledge and skills for safely initiating parenteral fluid administration. Other options might suggest that individuals with less training, such as nurse aides or medical assistants, should perform such procedures, which could compromise patient safety.