Following diagnosis of Ewing's sarcoma, the physician orders chemotherapy for the 12-year-old child. After discussion with the physician, the parents refuse a central line so the chemotherapy will be administered by peripheral line
The nurse will prevent extravasation by: Standard Text: Select all that apply. 1. Ensuring that the intravenous line is a free flowing line.
2. Administering the medication by infusion pump.
3. Checking for blood return before and during chemotherapy administration.
4. Diluting the medication with normal saline.
5. Administering the vesicant drug last.
1,3
Rationale 1: This is critical as extravasation is leaking into the tissues.
Rationale 2: An infusion pump does not ensure that the line is free flowing; this is inappropriate.
Rationale 3: This checks for intravenous administration and is appropriate.
Rationale 4: Not all medications can be mixed with normal saline, and this does not protect against extravasation.
Rationale 5: The vesicant drug should be administered first.
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