What is the nurse’s priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?

Change the infusion to normal saline, and inject the area with hydrocortisone.

Reduce the infusion rate.

Stop the infusion immediately, but leave the IV catheter jn place.

Discontinue the M, and apply warm compresses.

Answer and Explanation

The Correct Answer is C

C. Extravasation can cause severe damage and necrosis and the infusion should, therefore, be stopped and the catheter left in situ for aspiration
A. Glucocorticoids are not indicated
B. The infusion must be stopped completely
D. Pressure application can lead to further damage.

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Correct Answer is ["A","B","C"]

Explanation

Methotrexate inhibits the synthesis of purines. Purines and pyrimidines are the building blocks of DNA synthesis in every cell in the body. It affects the production of white blood cells and hence lowers the immunity and hence the client is at a higher risk for infections

Avoiding infected persons and hand hygiene prevents infections. Alcohol should be avoided as it increases the risk of liver damage

E-it takes several weeks to months to produce its effects

A. Increased cardiac output B. Reduced anxiety C. Volume depletion D. Decreased urine output

Correct Answer is A

Explanation

An agonist means it binds to mimic the action of the endogenous neurotransmitter. Adrenergic receptors act to stimulate the sympathetic nervous system leading to the fight/flight response. Increase in heart rate leads to increased cardiac output.
B. reduced anxiety are features of adrenergic blockade
C and D Volume depletion, decreased urine output are features of cardiogenic shock itself

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What is the nurse’s priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

An adrenergic agonist is ordered for a client in cardiogenic shock. The nurse will note that this drug has had its primary intended effect if which expected outcome occurs?

Correct Answer is A

Explanation

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