The patient receives dextran 40 (Gentran 40). The patient experiences tachycardia, dyspnea, and a cough. What is the best evaluation by the nurse?
1. The drug caused an interaction with another drug the patient receives.
2. The patient experienced impending kidney failure.
3. The patient is allergic to the drug.
4. The drug was infused too rapidly.
4
Rationale 1: There is no information in the question that the patient is receiving another drug.
Rationale 2: The patient's symptoms do not indicate kidney failure.
Rationale 3: An allergy would be manifested by urticaria.
Rationale 4: Fluid overload will be caused by a rate of infusion that is too rapid. Signs of fluid overload include tachycardia, peripheral edema, distended neck veins, dyspnea, and cough.
Global Rationale: Fluid overload will be caused by a rate of infusion that is too rapid. Signs of fluid overload include tachycardia, peripheral edema, distended neck veins, dyspnea, and cough. An allergy would be manifested by urticaria. There is no information in the question that the patient is receiving another drug. The patient's symptoms do not indicate kidney failure.
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