medium · NCLEX-RN Pharmacological and Parenteral Therapies

A nurse is preparing an IV infusion of a vesicant chemotherapy agent. The client has a central venous access device (CVAD).

Why is the CVAD the preferred route for this medication?

  1. Medications infused centrally reach the heart faster, improving the drug's therapeutic half-life, for this client.
  2. The high blood flow in the central vein rapidly dilutes the vesicant, reducing the risk of endothelial damage.
  3. The use of a CVAD eliminates the need for the nurse to perform site assessments during the infusion, for this client.
  4. Central lines are less likely to develop mechanical complications like air embolism.

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