What is the nurse’s priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?
Change the infusion to normal saline, and inject the area with hydrocortisone.
Reduce the infusion rate.
Stop the infusion immediately, but leave the IV catheter jn place.
Discontinue the M, and apply warm compresses.
The Correct Answer is C
C. Extravasation can cause severe damage and necrosis and the infusion should, therefore, be stopped and the catheter left in situ for aspiration
A. Glucocorticoids are not indicated
B. The infusion must be stopped completely
D. Pressure application can lead to further damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
methotrexate interferes with DNA synthesis which may affect all rapidly dividing cells including hair follicles, oral epithelial lining and bone marrow cells involved in fighting against infections
A. Hair loss is expected
B, E. Methotrexate should be taken with a lot of fluid to flush down the drug to minimize nausea and vomiting
Correct Answer is D
Explanation
D. Therapeutic index refers to the doses that results in desired outcome with adverse effects. It is between the safe and toxic levels. Narrow therapeutic level means the two are very close.
A. How effective a drug is termed as efficacy
B. Such a drug does not exist as it is not safe
C. Effectiveness of very small dose is termed as potency
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