During IV vincristine infusion, a client reports burning at the IV site. The nurse notes swelling and absent b…

Question

During IV vincristine infusion, a client reports burning at the IV site. The nurse notes swelling and absent blood return. Which is the priority action?

Accepted Answer

Option 3: STOP the infusion immediately, leave the IV catheter in place, aspirate residual drug, notify the provider, follow extravasation protocol (warm compress and hyaluronidase for vincristine), elevate limb, and document

Correct (2): Vincristine is a vesicant — extravasation requires immediate STOP, leave catheter in to aspirate residual, antidote per drug. Vinca alkaloids: warm compress + hyaluronidase. Anthracyclines: cold compress + dexrazoxane or DMSO. NEVER give vincristine intrathecally (fatal). (1,3,4) Worsen.

Answer

Option 1: Apply ice and continue infusion

Answer

Option 2: Remove the IV and reinsert in the same vein

Answer

Option 4: Increase the rate to flush the line

During IV vincristine infusion, a client reports burning at the IV site. The nurse notes swelling and absent blood return. Which is the priority action?

In-depth explanation

Clinical scenario

Key concepts

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During IV vincristine infusion, a client reports burning at the IV site. The nurse notes swelling and absent blood return. Which is the priority action?

In-depth explanation

Clinical scenario

Key concepts

Master the NCLEX-RN with MyMerci