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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A) Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.

B) Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.

C) Stopping calcium supplements may not be necessary, but proper timing is crucial.

D) Taking the medications together can reduce the absorption of both, so they should be spaced apart.

A. St. John's Wort B. Coenzyme Q-10 C. Ginkgo biloba D. Ma Huang

Correct Answer is C

Explanation

A) St. John's Wort is not typically associated with an increased risk of bleeding.

B) Coenzyme Q-10 is not known to have significant anticoagulant or antiplatelet effects.

C) Ginkgo biloba is a dietary supplement that may increase the risk of bleeding, and its use should be assessed preoperatively.

D) Ma Huang (ephedra) is associated with cardiovascular stimulation rather than anticoagulant effects.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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