When administering an intravenous infusion of monoclonal antibodies, it is most important for the nurse to implement which of the following interventions?
Restrict the client’s intake of fluids.
Premedicate the client with morphine.
Stay with the client during the first 15 minutes of the infusion.
Assess the client for the development of ototoxicity.
The Correct Answer is C
A. Restrict the client’s intake of fluids.
Fluid restriction is not a standard intervention during the administration of monoclonal antibodies.
B. Premedicate the client with morphine.
Morphine is not a standard premedication for monoclonal antibody infusions. Premedication may be used in some cases, but the specific medications used depend on the patient's individual needs and the nature of the monoclonal antibody being administered.
C. Stay with the client during the first 15 minutes of the infusion.
The rationale for staying with the client during the initial part of the infusion is to monitor for any immediate hypersensitivity reactions or infusion-related adverse events, which can sometimes occur early in the infusion process. This allows the nurse to respond promptly if the client experiences any adverse reactions.
D. Assess the client for the development of ototoxicity.
Ototoxicity (hearing loss) is not a common concern with monoclonal antibody infusions. The focus of assessment during the infusion is primarily on immediate hypersensitivity reactions and other infusion-related adverse events.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,A,B
Explanation
The correct order for administering ipratropium bromide (Atrovent), albuterol (Proventil), and an inhaled glucocorticoid (steroid) to treat chronic bronchitis is:
C. Ipratropium bromide (Atrovent), albuterol (Proventil), glucocorticoid (steroid)
Here's the rationale for this order:
Ipratropium bromide (Atrovent): Ipratropium is an anticholinergic bronchodilator that helps to relax the muscles around the airways, allowing for increased airflow. It is typically recommended to use ipratropium before other bronchodilators to maximize their effectiveness.
Albuterol (Proventil): Albuterol is a short-acting beta-agonist bronchodilator. It works by relaxing the muscles in the airways, leading to improved airflow. Using it after ipratropium further promotes bronchodilation.
Glucocorticoid (steroid): Inhaled glucocorticoids have anti-inflammatory effects and help to reduce airway inflammation. Using the glucocorticoid last allows it to reach the airways and exert its anti-inflammatory effects.
Correct Answer is C
Explanation
Explanation:
A. Administer phenergan (Promethazine) 12.5 mg IVP at the first complaint of nausea.
This option suggests waiting until the patient complains of nausea before administering the antiemetic. It is not a proactive approach and may not effectively prevent nausea associated with chemotherapy.
B. Administer ondansetron (Zofran) 4mg IV Push after Ms. Samuels complains of nausea.
Similar to option A, this choice involves waiting for the patient to experience nausea before administering the medication. Again, it is not a proactive strategy for preventing chemotherapy-induced nausea and vomiting.
C. Administer ondansetron (Zofran) 4mg IV push sometime between 1300-1330.
This option is the most appropriate among the given choices. It suggests administering the antiemetic (ondansetron) before the scheduled chemotherapy session. Ondansetron is commonly used as a prophylactic measure to prevent nausea and vomiting associated with chemotherapy.
D. Administer phenergan (Promethazine) 25 mg PO at 1345.
This choice involves administering the antiemetic (phenergan) orally just 15 minutes before the scheduled chemotherapy session. While it is better than waiting for symptoms to appear, oral medications may take some time to be absorbed, and it might not provide as rapid relief as an intravenous (IV) medication.
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