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) Allopurinol inhibits the synthesis of uric acid, preventing its formation.
B) Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.
C) Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.
D) Probenecid increases the excretion of uric acid in the urine.
Correct Answer is C
Explanation
A) Stopping routine asthma medications may actually increase the risk of complications, including exacerbation of asthma and potential harm to the baby.
B) Stopping all routine medications is not recommended without consulting a healthcare provider.
C) Many asthma medications are considered safe during pregnancy, and managing asthma is important for both maternal and fetal health.
D) There is a need for concern, and it is essential for pregnant women with asthma to work with their healthcare providers to manage their condition appropriately.
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