A client receiving infliximab through intravenous infusion is reporting difficulty swallowing.
Which immediate action would the nurse take?

Shut off the intravenous infusion.

Notify the primary health care provider.

Have the client take deep breaths and try to relax.

Obtain a prescription for oral diphenhydramine.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Shutting off the intravenous infusion is the immediate action to take when a client reports difficulty swallowing during infliximab infusion. This could indicate an infusion reaction or anaphylaxis, which requires immediate cessation of the infusion to prevent further complications.

Choice B rationale

Notifying the primary health care provider is important, but the immediate action should be to stop the infusion to prevent further adverse reactions.

Choice C rationale

Having the client take deep breaths and try to relax is not appropriate in this situation, as it does not address the potential infusion reaction or anaphylaxis.

Choice D rationale

Obtaining a prescription for oral diphenhydramine may be part of the treatment for an infusion reaction, but the immediate action should be to stop the infusion. .

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Correct Answer is D

Explanation

Choice A rationale

Stating that the client had an allergic reaction to the ordered meperidine is not objective and does not provide specific details about the client’s condition.

Choice B rationale

Notifying the primary health care provider because the client developed a rash after receiving an opioid analgesic is important, but it does not include all the necessary details about the client’s condition.

Choice C rationale

Documenting that the client’s skin was warm and flushed, and a rash was noted on the chest and back is important, but it does not include the timing of the reaction or the client’s temperature.

Choice D rationale

Documenting that thirty minutes after receiving meperidine, the temperature was 101°F (38.3°C), the client’s skin was warm and flushed, and a rash was noted on the chest and back provides a complete and objective account of the client’s condition and the timing of the reaction.

A. Apply cool compresses. B. Eye drops to constrict the pupils will be prescribed. C. Restrict head movement. D. Keep both eyes patched.

Correct Answer is C

Explanation

Choice A rationale

Applying cool compresses can help reduce swelling and discomfort, but it is not the primary instruction for a client scheduled for retinal detachment surgery.

Choice B rationale

Eye drops to constrict the pupils are not typically prescribed for retinal detachment surgery. The focus is on preventing further detachment and ensuring proper healing.

Choice C rationale

Restricting head movement is crucial to prevent further detachment of the retina and to promote proper healing after surgery. The client should be instructed to avoid sudden or excessive head movements.

Choice D rationale

Keeping both eyes patched is not necessary and may cause unnecessary discomfort and disorientation for the client.

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A client receiving infliximab through intravenous infusion is reporting difficulty swallowing. Which immediate action would the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Thirty minutes after receiving meperidine, the client develops a temperature of 101°F and the skin is warm and flushed with a notable rash on the chest and back. The nurse contacts the primary health care provider and begins to document on an incident report. Which information should be included?

Correct Answer is D

Explanation

A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.

A client receiving infliximab through intravenous infusion is reporting difficulty swallowing. Which immediate action would the nurse take?

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A client receiving infliximab through intravenous infusion is reporting difficulty swallowing.
Which immediate action would the nurse take?