The intravenous line of a patient receiving a vesicant chemotherapy agent has disconnected and is lying on the floor. The medication is dripping all over the floor. Which action should the nurse take first?
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
D. Chemotherapy agents are toxic and can be harmful to health care workers cleaning up spills. Agency policy, which will include protecting the nurse, should be followed when cleaning up the spill. B. Disposable cloths are not used to clean a vesicant medication. C. Special precautions are needed. A. An IV tube that is lying on the floor is no longer sterile and should not be reconnected. New tubing will be needed.
You might also like to view...
The nurse is discussing home care of a client with Alzheimer disease with the family caregivers. The nurse should plan to:
1. refer the family to a nursing home. 2. provide teaching about the progression of the disease. 3. encourage the family to go out and leave the client at home. 4. encourage the family to keep the client in the bedroom.
In Fowler's Stage of Faith Development, Stage 6 is called:
a. Individuative-Reflective faith. c. Intuitive-Projective faith. b. Universalizing faith. d. Synthetic-Conventional faith.
A client with schizophrenia and a history of repeated hospitalizations and homelessness is ready for discharge. The nurse is developing a plan for his continued care in the community
Given the client's history, the nurse should recommend which of the following plans? A) Intensive case management B) Monthly follow-up in the community mental health clinic C) Referral to an occupational therapist D) Family education about boundary setting
A patient comes to the clinic reporting sudden pain and swelling of one knee joint. The primary care NP suspects gout. When preparing to order diagnostic tests, the most important initial test the primary care NP should order is:
a. renal function tests. b. serum uric acid levels. c. 24-hour urine collection. d. synovial fluid aspirate for Gram stain and culture.