A patient is being treated with zalcitabine (Hivid). The patient reports sharp, shooting pain and severe, continuous burning in the extremities. What action should the nurse take?
a. Hold the next dose, administer an opioid analgesic, and call the prescriber.
b. Explain to the patient that this effect is transient.
c. Explain to the patient that the effect will lessen with subsequent doses.
d. Provide the dose and then call the prescriber.
ANS: A
The nurse should hold the next dose, administer an opioid for pain, and notify the prescriber, because the patient is showing signs of significant neuropathy.
The effects are not transient; they may be irreversible, and they will not lessen with subsequent doses.
The dose should be held, not given.
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