You are an oncology nurse and have just begun infusion of a patient's first dose of doxorubicin (Adriamycin) for the treatment of the patient's soft-tissue sarcoma
Shortly after beginning the infusion, the patient complains of pain at the infusion site, which is now swollen and reddened, and the IV pump has alarmed with a report of occlusion. As a result, you suspect extravasation. What action should you prioritize?
A) Stop the infusion and remove the patient's IV cannula.
B) Slow the infusion and take the patient's vital signs.
C) Discontinue the infusion and infuse a flush of normal saline.
D) Stop the infusion and aspirate from the patient's IV line.
D
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A mother was very proud that she had cut back smoking from two packs a day, which she had smoked for years, to only half a pack a day. Which of the following would be the most appropriate response by the nurse?
a. "I wish all smoking moms could see your example!" b. "I'm so proud of you. You're down to only 25% of what you used to smoke!" c. "That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely." d. "Your baby will really appreciate your efforts at quitting, especially if you do not resume after the baby is born."
A patient is admitted with posttraumatic stress disorder (PTSD) says he had a very stressful experience when in high school and has never really recovered. What is the most appropriate nursing action?
a. Encourage the patient to talk about what caused the traumatic event. b. Guide the patient in relaxation techniques to distract him when flashbacks occur. c. Provide sleeping medication so that he can sleep at night. d. Allow the patient to talk about his condi-tion as often as he likes.
A partnership between which organization and The Joint Commission has resulted in an increased emphasis on employee safety and health in the environment of care?
a. Occupational Safety and Health Administration b. National Institutes of Health c. Centers for Disease Control and Prevention d. Department of Health and Human Services
The nurse is caring for several patients and prepares to administer morning medications. Which high-risk patient should the nurse monitor most carefully after the drugs are administered?
a. The pediatric patient admitted with a broken arm b. The active elderly patient admitted with a right hip fracture c. The young adult patient with a history of kidney disease d. The 26-year-old female admitted with asthma