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.

Answer and Explanation

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.

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Correct Answer is ["B","C"]

Explanation

following the rights of medications administration prevents errors, the rights include right client, right dosage, right drug, right route and right time and frequency. The nurse must always verify the administration order to the prescription before drug administration. Wherever there is doubt, the provider should be consulted to avoid errors.

A- Minimizing telephone and verbal orders is not a proven principle of preventing medication errors

D- Use of trade names increases risk of errors

E-Allergy assessment is not related to medication errors

A. A client who is about to have surgery B. A client who has suddenly developed symptomatic tachycardia with a heart rate of 180 beats/min C. A client newly diagnosed with myasthenia gravis D. A client who has suddenly developed symptomatic bradycardia with a heart rate of 32 beats/min E. A client with severe narrow-angle glaucoma

Correct Answer is ["A","D"]

Explanation

A. Atropine sulfate reduce the production of bronchial secretions leading to easy intubation. This reduction in airway secretion ensures smooth intubation
D. Atropine is an anticholinergic that binds on to the muscarinic receptors on the heart to produce block the parasympathetic impulses. This mechanism is used to manage bradycardia
B. Tachycardia is managed through vagal maneuvers if stable and cardioversion or antiarrhythmics
C. Myasthenia gravis is managed using acetylcholinesterase inhibitors
E. Cholinergic agonists are used in narrow angle glaucoma

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What is the nurse’s priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?

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Naxlex Comprehensive Predictor Exams

The nurse can prevent medication errors by following which principles? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

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Before administering any medication, what is the nurse's priority action regarding client safety?