A nurse is caring for a client with deep vein thrombosis (DVT) in the hospital.
Which of the following medications should the nurse anticipate to prepare for this client to further manage the client's DVT?

Choice A rationale

Controlled substances have a potential for dependence because they can cause physical and psychological dependence when misused. The dependence is characterized by withdrawal symptoms when the substance is not used, and it is a key factor in the regulation of these substances.

Choice D rationale

Controlled substances have a Schedule classification as mandated by the Controlled Substances Act (CSA). The schedule classification indicates the potential for abuse and medical use, with Schedule I substances having the highest potential for abuse and no accepted medical use, while Schedule V substances have the lowest potential for abuse.

Choice A rationale

Stopping the infusion immediately is crucial to prevent further exposure to the allergen causing the adverse reaction. This intervention halts the administration of gentamicin, which is likely causing the dyspnea, rash, and itchiness. Prompt discontinuation of the medication minimizes the severity of the allergic reaction and allows for further medical management.

Choice B rationale

Administering an IV fluid bolus to flush the medication is not the priority intervention in this case. While it might help to clear the medication from the bloodstream, it does not address the immediate need to stop the allergen exposure and manage the allergic reaction.

Choice C rationale

Encouraging the client to take deep breaths and remain calm is supportive, but it does not address the root cause of the allergic reaction, which is the administration of gentamicin. The immediate priority is to stop the infusion and then manage the symptoms.

Choice D rationale

Administering oxygen via nasal cannula may help alleviate respiratory distress, but it is not the priority intervention. The primary step is to stop the infusion to prevent further exposure to the allergen.