A client receiving infliximab through intravenous infusion is reporting difficulty swallowing.
Which immediate action would the nurse take?

Shut off the intravenous infusion.

Notify the primary health care provider.

Have the client take deep breaths and try to relax.

Obtain a prescription for oral diphenhydramine.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Shutting off the intravenous infusion is the immediate action to take when a client reports difficulty swallowing during infliximab infusion. This could indicate an infusion reaction or anaphylaxis, which requires immediate cessation of the infusion to prevent further complications.

Choice B rationale

Notifying the primary health care provider is important, but the immediate action should be to stop the infusion to prevent further adverse reactions.

Choice C rationale

Having the client take deep breaths and try to relax is not appropriate in this situation, as it does not address the potential infusion reaction or anaphylaxis.

Choice D rationale

Obtaining a prescription for oral diphenhydramine may be part of the treatment for an infusion reaction, but the immediate action should be to stop the infusion. .

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Correct Answer is B

Explanation

Choice A rationale

Rephrasing statements the client does not hear is helpful but not the priority action. The priority is to determine if the client uses hearing aids to ensure they can hear instructions and communication effectively.

Choice B rationale

Determining if the client uses hearing aids is the priority action. Ensuring the client has and uses their hearing aids can significantly improve communication and care.

Choice C rationale

Speaking using the usual tone of voice and directly in front of the client is important but secondary to ensuring the client has their hearing aids.

Choice D rationale

Using hand gestures to communicate can be helpful but is not the priority action. The primary focus should be on ensuring the client has their hearing aids for optimal hearing.

A. Administering an IM injection. B. Completing a dressing change. C. Administering an intermittent IV bolus medication. D. Talking to the client at the bedside.

Correct Answer is B

Explanation

Choice A rationale

Administering an IM injection does not typically require a gown as personal protective equipment unless there is a risk of exposure to blood or body fluids.

Choice B rationale

Completing a dressing change requires a gown to protect against potential exposure to blood or body fluids.

Choice C rationale

Administering an intermittent IV bolus medication does not typically require a gown unless there is a risk of exposure to blood or body fluids.

Choice D rationale

Talking to the client at the bedside does not require a gown as there is no risk of exposure to blood or body fluids.

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A client receiving infliximab through intravenous infusion is reporting difficulty swallowing. Which immediate action would the nurse take?

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A client receiving infliximab through intravenous infusion is reporting difficulty swallowing.
Which immediate action would the nurse take?