A 72-year-old male patient has arrived at the outpatient unit to receive an infusion of alemtuzumab (Compath)
The patient tells the nurse this is the second time his chronic lymphocytic leukemia has relapsed and the second time he will receive this drug because he failed alemtuzumab therapy after being treated with an alkylating agent. What is the priority nursing action? A) Calling the physician and questioning the order
B) Washing your hands
C) Beginning an intravenous infusion
D) Canceling the infusion
A
Feedback:
Monoclonal antibodies should be used cautiously in patients who have had previous administration of the monoclonal antibody (serious hypersensitivity reactions can occur with repeat administration). The nursing priority would be to question the order because the patient has already received alemtuzumab (Compath) previously and if the order is verified, this patient should be monitored very carefully, perhaps starting to infuse more slowly until the patient's reaction can be determined. Only after questioning the order and having it verified would the nurse perform hand hygiene and begin the infusion.
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