Place the steps for safe intravenous acyclovir administration to a child in the correct sequence.
Ordered Response
Choose your responses, then check the answer.
Explanation
Safe intravenous acyclovir use begins with patient-specific dose and renal review, followed by correct dilution and controlled infusion, hydration support, and serial renal and neurologic assessment.
Quick answer Protect the kidneys with verify, dilute, infuse, hydrate, and reassess.
Why this is correct Rapid bolus administration, dehydration, renal impairment, and other nephrotoxins increase the risk of acyclovir precipitation in renal tubules.
Easy analogy or mental picture Use a family-centered medication-safety loop: verify age or pregnancy context, identify the exposure and new cue, prevent further harm, stabilize the client, and confirm the response.
Memory hook Population, indication, dose or route, contraindication, urgent cue, protective action, and reassessment.
NCLEX decision rule Choose the action that protects the maternal, newborn, or pediatric client from the most immediate medication-related harm while preserving authorized treatment.
Why the other choices are wrong Options that normalize a danger sign, substitute an unapproved route or dose, or delay reassessment leave the client exposed to preventable harm.
References
1DailyMed: intravenous acyclovirCrystal nephropathy, infusion rather than bolus administration, adequate hydration, creatinine-clearance adjustment, and neurologic toxicity
Maternal, newborn, and pediatric medication safety reviewVerify the client's age or pregnancy stage, indication, weight or laboratory context, route, interacting therapies, contraindications, caregiver teaching, and measurable follow-up.