Author Question: A client is receiving chemotherapy through a peripheral IV line. What action by the nurse is most ... (Read 55 times)

meagbuch · **on:** Jun 25, 2018

A client is receiving chemotherapy through a peripheral IV line. What action by the nurse is most important?

a. Assessing the IV site every hour
b. Educating the client on side effects
c. Monitoring the client for nausea
d. Providing warm packs for comfort

Question 2

A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?

a. Avoid getting salt water on the radiation site.
b. Do not expose the radiation area to direct sunlight.
c. Have a wonderful time and enjoy your vacation
d. Remember you should not drink alcohol for a year.

InfiniteSteez · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Intravenous chemotherapy can cause local tissue destruction if it extravasates into the surrounding tissues. Peripheral IV lines are more prone to this than centrally placed lines. The most important intervention is prevention, so the nurse should check hourly to ensure the IV site is patent, or frequently depending on facility policy. Education and monitoring for side effects such as nausea are important for all clients receiving chemotherapy. Warm packs may be helpful for comfort, but if the client reports that an IV site is painful, the nurse needs to assess further.

Answer to Question 2

ANS: B
The skin overlying the radiation site is extremely sensitive to sunlight after radiation therapy has been completed. The nurse should inform the client to avoid sun exposure to this area. This advice continues for 1 year after treatment has been completed. The other statements are not appropriate.