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NCLEX Question of the Day
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A nurse is administering a chemotherapeutic agent via IV. What is the most important action to take during administration?
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Encourage the client to drink fluids to flush the medication from the system quickly.
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Mix the medication with a large volume of fluid to dilute its effects.
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Administer the medication as a rapid IV push to minimize client discomfort.
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Correct answer Monitor the IV site frequently for signs of extravasation.
Rationale
When administering chemotherapeutic agents, it is crucial to monitor the IV site frequently for signs of extravasation, which can cause tissue damage. Administering the medication rapidly or diluting it excessively can alter its efficacy and increase the risk of side effects. Encouraging fluids does not mitigate the need for careful monitoring of the IV site.
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