During interleukin drug therapy, a client is showing signs of severe fluid retention, with increasing dyspnea and severe peripheral edema. The next dose of the interleukin is due now.
Which action will the nurse take next?
Give the drug, and notify the prescriber.
Hold the drug, and notify the prescriber.
Give the drug along with acetaminophen and diphenhydramine.
Monitor the client for 2 hours, and then give the drug if the client's condition improves.
The Correct Answer is B
B. Interleukin causes capillary leak syndrome which present as fluid retention, dyspnea and edema hence should be held.
A. Giving the drug will worsen the condition
C. Diphenhydramine cannot prevent capillary leak syndrome
D. Delaying the drug is inappropriate as it could worsen the condition of the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Opioids cause constipation and therefore client should prevent is by taking high fibre intake and adequate fluid intake.
A. Opioids do not cause diarrhea
B. The drug should be taken as prescribed to avoid inadequate pain relief and overdose.
D. Opioids cause nausea and vomiting which can be worsened when taken on an empty stomach
Correct Answer is B
Explanation
Orange urine is a normal and harmless side effect of some anti-TBs such as rifampicin and not a sign of worsening. He should not take the medications.
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