The LPN is caring for a client who is receiving an intravenous ...

[panfilo]

The LPN is caring for a client who is receiving an intravenous (IV) infusion of chemotherapy. The client complains of pain at the insertion site during infusion. The LPN notes redness, swelling, and a decreased infusion rate.
 
  The LPN's MOST appropriate action would be to: a. elevate the extremity of the IV site and slow the infusion
  b. apply ice and maintain the infusion rate, as prescribed
  c. administer pain medication to reduce the discomfort
  d. notify the registered nurse

Question 2

For a child diagnosed with leukemia and treated with a combination of drugs, prognosis is good if:
 
  a. remission occurs
  b. the client does not experience any adverse effects from the therapy
  c. the client is compliant with the medical regime
  d. there is no metastasis

[fromAlphatoOmega22]

Answer to Question 1

D
Chemotherapy medications escaping into the tissues surrounding the injection site can cause pain, tissue damage, and necrosis. The signs of extravasation are redness or swelling at the insertion site and a decreased infusion rate. The LPN should notify the registered nurse immediately.

Answer to Question 2

A
Leukemia is the uncontrolled production of immature white blood cells. Common symptoms include pallor, weakness, fever, excessive bruising, petechiae, purpura, bone and joint pain, and abdominal pain. A bone marrow transplant may be recommended. If treated with a combination of drugs and remission occurs, the prognosis is good.