You are an oncology nurse and have just begun infusion of a patient's first dose of doxorubicin (Adriamycin) for the treatment of the patient's soft-tissue sarcoma.
Shortly after beginning the infusion, the patient complains of pain at the infusion site, which is now swollen and reddened, and the IV pump has alarmed with a report of occlusion. As a result, you suspect extravasation. What action should you prioritize?
A) Stop the infusion and remove the patient's IV cannula.
B) Slow the infusion and take the patient's vital signs.
C) Discontinue the infusion and infuse a flush of normal saline.
D) Stop the infusion and aspirate from the patient's IV line.
Question 2
An older patient with multiple health problems asks the nurse for advice about recurrent insomnia. Which statement made by the nurse is most accurate?
A) Caffeine obviously makes it hard for you to sleep, while a moderate amount of alcohol at bedtime is useful..
B) You should try over-the-counter sleep aides for several weeks before you move on to prescription options..
C) It's very normal for the quality of sleep to decrease with age, so this is usually a problem that requires accommodation rather than treatment..
D) A lot of medications have the potential to interfere with sleep, so it would be useful to review your medications with your physician or a pharmacist..
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