During interleukin drug therapy, a client is showing signs of severe fluid retention, with increasing dyspnea and severe peripheral edema. The next dose of the interleukin is due now.
Which action will the nurse take next?
Give the drug, and notify the prescriber.
Hold the drug, and notify the prescriber.
Give the drug along with acetaminophen and diphenhydramine.
Monitor the client for 2 hours, and then give the drug if the client's condition improves.
The Correct Answer is B
B. Interleukin causes capillary leak syndrome which present as fluid retention, dyspnea and edema hence should be held.
A. Giving the drug will worsen the condition
C. Diphenhydramine cannot prevent capillary leak syndrome
D. Delaying the drug is inappropriate as it could worsen the condition of the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Aptt is sensitive to heparin and hence use to monitor the therapeutic effects. This helps to ensure that the drug exert if therapeutic effects with increasing the risk of bleeding due to overdose.
A. Bleeding times is a test used to screen for bleeding disorders
B and D are not used for monitoring
Correct Answer is D
Explanation
Demonstration is a measurable outcome. It allows the nurse to pick any errors in the performance of the task in real time and hence corrections can be made.
A, B and C are vague outcomes that are not feasible to measure.
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