medium · NCLEX-RN Pharmacological and Parenteral Therapies

The nurse is preparing to administer an intravenous chemotherapy vesicant. Upon assessment of the peripheral IV site, the nurse notes slight swelling and the client reports a 'stinging' sensation.

What is the nurse's first action?

  1. Immediately stop the infusion and aspirate any residual drug from the catheter.
  2. Slow the infusion rate and monitor the site every 15 minutes.
  3. Apply a warm compress to the site to increase blood flow and drug absorption.
  4. Flush the line with 10 mL of normal saline to check for patency.

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