Which nursing actions will decrease the risk of extravasation when administering chemotherapy to a pediatric client through a peripheral line? Select all that apply
1. Ensuring that the intravenous line is a free flowing line
2. Administering the medication by infusion pump
3. Checking for blood return before and during chemotherapy administration
4. Diluting the medication with normal saline
5. Administering the vesicant drug last
1, 3
Explanation:
1. This is critical, as extravasation is leaking into the tissues.
2. An infusion pump does not ensure that the line is free flowing; this is inappropriate.
3. This checks for intravenous administration and is appropriate.
4. Not all medications can be mixed with normal saline, and this does not protect against extravasation.
5. The vesicant drug should be administered first.
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