The nurse is preparing to administer interleukin-2 to a patient who has cancer. The patient reports shortness of breath
The nurse assesses clear breath sounds, a respiratory rate of 22 breaths per minute, a heart rate of 80 beats per minute, an oxygen saturation of 93% on room air, and a blood pressure of 92/68 mm Hg. The nurse will perform which action?
a. Administer the dose as ordered.
b. Administer oxygen while giving the dose.
c. Discuss permanently discontinuing this treatment with the provider.
d. Hold the dose and notify the provider.
ANS: D
Because of pulmonary symptoms associated with interleukin-2, the drug should be held if the patient has an oxygen saturation <94% on room air. It may be given when the patient's oxygen saturation improves. The drug does not need to be permanently discontinued.
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