A patient is receiving a vesicant chemotherapy agent. The nurse notes that the patient's IV line has disconnected and is lying on the floor; the medication is dripping all over the floor. Which of the following actions is appropriate?
a. Reconnect the IV tubing immediately.
b. Wipe it up as quickly as possible with disposable cloths.
c. No special precautions are needed for vesicant drug cleanups.
d. Use gloves and a protective gown to clean the spill according to agency policy.
ANS: D
Chemotherapy agents are toxic and can be harmful to health-care workers cleaning up spills. Agency policy should be followed to clean the spill, which will include protecting the nurse. Special precautions are needed. An IV tube that is lying on the floor is no longer sterile and should not be reconnected. New tubing will be needed.
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