The nurse is caring for a patient who is receiving intravenous mechlorethamine (Mustargen). The patient reports pain at the IV site, and the nurse assesses swelling and pallor at the site. What action will the nurse take?
a. Administer an analgesic medication.
b. Apply a warm compress to the site.
c. Slow the infusion and notify the provider.
d. Stop the infusion immediately.
ANS: D
Methchlorethamine is a severe vesicant and can cause tissue necrosis if it infiltrates into the tissues. The nurse should stop the infusion.
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