A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs of redness at the intravenous insertion site and along the vein. What is the nurse's action?
Request central venous access.
Continue the infusion while elevating the arm.
Immediately stop the infusion and select an alternate intravenous site.
Apply warm packs to the arm and infuse the medication at a slower rate.
The Correct Answer is C
a) Requesting central venous access is not the first-line response to signs of redness, pain, and irritation at the current infusion site. It's essential to address the immediate issue first.
b) Continuing the infusion while elevating the arm may exacerbate the symptoms and is not an appropriate action when there are signs of localized irritation.
c) Stopping the infusion and selecting an alternate intravenous site is the correct action to prevent further complications and assess the cause of the irritation.
d) Applying warm packs and infusing the medication at a slower rate may not be sufficient to address the observed redness and pain, and an alternate site should be considered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Levothyroxine is usually recommended to be taken 30 to 60 minutes before breakfast to enhance absorption, but this is not the answer indicated by the client's statement.
b) Taking levothyroxine at bedtime is another acceptable option and may be more convenient for some individuals. Both options (morning or bedtime) are valid.
c) Taking levothyroxine when feeling fatigued is not a specific guideline for medication administration.
d) Taking levothyroxine with an antacid may interfere with absorption and is not recommended.
Correct Answer is B
Explanation
a) This statement inaccurately describes the concept of half-life. Half-life refers to the time it takes for the drug concentration in the body to decrease by half, not the time it takes for the drug to reach receptors.
c) This statement inaccurately describes the concept of half-life. Half-life is not related to the distribution of the drug in the body.
d) This statement inaccurately describes the concept of half-life. Half-life is not related to the shelf-life of the drug.
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