Question

A client is to start chemotherapy to treat lung cancer. A venous access device has been placed to permit administration of chemotherapeutic medications. Three days later at the scheduled appointment to receive chemotherapy, the nurse assesses that the client is dyspneic and the skin is warm and pale. The vital signs are blood pressure 80/30 mm Hg, pulse 132 bpm, respirations 28 breaths/min, temperature 103° F (39.4° C), and oxygen saturation 84%. The central line insertion site is inflamed. After calling the rapid response team, what should the nurse do next? Obtain a portable ECG monitor. Insert a peripheral intravenous fluid line and infuse normal saline. Administer a prescribed antipyretic. Place cold, wet compresses on the client's head

Answer 1

The nurse should insert a peripheral intravenous fluid line and infuse normal saline on the patient. After all the necessary protocol tests have been done on a patient who is admitted to a hospital, it is necessary for the nurse to conduct this next protocol to ensure the stability of the patient and address his concerns if needed immediately.