A nurse is caring for an 8-year-old male client admitted to the surgical unit after having a total right knee replacement.
The nurse reviews the client's nursing note, vital signs, and medication administration record (MAR). Based on the findings, which medication is considered an anti-emetic?

Choice A rationale

Decongestants relieve nasal congestion by reducing swelling of the nasal passages.

Choice B rationale

Mucolytics thin and loosen mucus in the airways, making it easier to cough up.

Choice C rationale

Antitussives suppress coughing.

Choice D rationale

Expectorants, like guaifenesin, help thin and loosen mucus, making it easier to clear from the airways.

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.