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 C

Explanation

Choice A rationale

Erythema and edema of the affected ear are more commonly associated with external otitis (swimmer’s ear) rather than otitis media. Otitis media involves the middle ear, not the external ear canal.

Choice B rationale

Pain when manipulating the affected ear lobe is also indicative of external otitis. In otitis media, the pain is usually deeper and not affected by manipulation of the ear lobe.

Choice C rationale

Tugging on the affected ear lobe is a common sign in toddlers with otitis media. This behavior is due to the discomfort and pressure in the middle ear caused by the infection.

Choice D rationale

Clear drainage from the affected ear is not typical of otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a ruptured eardrum.

A. To expand the blood volume. B. To enhance clotting factors. C. To avoid fever and chills. D. To prevent urticaria.

Correct Answer is D

Explanation

Choice A rationale

Diphenhydramine does not expand blood volume. It is an antihistamine used to prevent allergic reactions.

Choice B rationale

Diphenhydramine does not enhance clotting factors. It is used to manage allergic reactions.

Choice C rationale

While diphenhydramine can help manage fever and chills, its primary purpose before a blood transfusion is to prevent allergic reactions.

Choice D rationale

Administering diphenhydramine before a blood transfusion helps prevent urticaria and other allergic reactions by blocking histamine release. .

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who has otitis media. Which of the following assessment findings should the nurse expect?

Correct Answer is C

Explanation

What is the purpose of administering diphenhydramine before a blood transfusion?

Correct Answer is D

Explanation

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