Comprehensive Nursing Pharmacology Q 257
The nurse is monitoring a patient receiving an Iv infusion of an antineoplastic medication. During the infusion, the patient complains of pain and redness at the insertion site. The nurse should take which actions? Select all that apply.
A. Reinsert the IV at a distal part of the same vein.
B. Increase the flow rate of the medication.
C. Notify the physician.
D. Apply a heat or ice compress to the site.
E. Administer an antidote as prescribed.
Correct Answer: C, D, & E
Extravasation may occur during the infusion of chemotherapy. Signs of which are pain, redness, and swelling on the insertion site. The infusion must stop and the physician is notified. The physician may order the administration of an antidote and heat or cold compress is done.
Options A & B: Reinsertion on the same vein and increasing the flow rate may cause further damage to the site.