The nurse is administering an IV chemotherapeutic agent to a ...

[jenna1]

The nurse is administering an IV chemotherapeutic agent to a child with leukemia. The child suddenly begins to wheeze and have severe urticaria. Which is the most appropriate nursing action?
 
  a. Stop drug infusion immediately.
  b. Recheck rate of drug infusion.
  c. Observe child closely for next 10 minutes.
  d. Explain to child that this is an expected side effect.

Question 2

Which immunization should not be given to a child receiving chemotherapy for cancer?
 
  a. Tetanus vaccine
  b. Inactivated poliovirus vaccine
  c. Diphtheria, pertussis, tetanus (DPT)
  d. Measles, rubella, mumps

[jrpg123456]

Answer to Question 1

ANS: A
If an allergic reaction is suspected, the drug should be immediately discontinued. Any drug in the line should be withdrawn, and a normal saline infusion begun to keep the line open. Rechecking the rate of drug infusion, observing the child closely for next 10 minutes, and explaining to the child that this is an expected side effect can all be done after the drug infusion is stopped and the child is evaluated.

Answer to Question 2

ANS: D
The vaccine used for measles, mumps, and rubella is a live virus and can result in an overwhelming infection. Tetanus vaccine, inactivated poliovirus vaccine, and diphtheria, pertussis, tetanus (DPT) are not live virus vaccines.