A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs of redness at the intravenous insertion site and along the vein. What is the nurse's action?
Request central venous access.
Continue the infusion while elevating the arm.
Immediately stop the infusion and select an alternate intravenous site.
Apply warm packs to the arm and infuse the medication at a slower rate.
The Correct Answer is C
a) Requesting central venous access is not the first-line response to signs of redness, pain, and irritation at the current infusion site. It's essential to address the immediate issue first.
b) Continuing the infusion while elevating the arm may exacerbate the symptoms and is not an appropriate action when there are signs of localized irritation.
c) Stopping the infusion and selecting an alternate intravenous site is the correct action to prevent further complications and assess the cause of the irritation.
d) Applying warm packs and infusing the medication at a slower rate may not be sufficient to address the observed redness and pain, and an alternate site should be considered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Taking furosemide at 0800 is often recommended to promote diuresis during the day, allowing the client to manage fluid balance while awake and minimizing the need for frequent urination during the night.
b) Taking furosemide at 1900 may contribute to nocturnal diuresis, potentially affecting sleep.
c) Taking furosemide at 2200 is not ideal as it may lead to increased nighttime urination.
d) Taking furosemide at 1600 may not provide the optimal timing to balance diuretic effects throughout the day.
Correct Answer is D
Explanation
A) Omeprazole should not be chewed; it is usually taken whole with a glass of water.
B) Taking omeprazole with an antacid may alter its absorption and effectiveness; they should be taken separately.
C) While long-term use may be necessary in some cases, the statement doesn't reflect a proper understanding of the timing of administration.
D) Omeprazole is most effective when taken on an empty stomach, usually 30 to 60 minutes before a meal.
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