hard · NCLEX-RN Safety and Infection Prevention and Control

The nurse returns to the bedside to manage the client's right forearm doxorubicin extravasation. Drag the four nursing interventions into the correct chronological order of execution from first (Step 1) to last (Step 4).

  1. Aspirate residual drug and fluid from the right forearm peripheral catheter using a 3 mL syringe.
  2. Disconnect the IV tubing and carefully remove the right forearm peripheral IV catheter.
  3. Apply a cool, dry compress to the affected right forearm area to limit local tissue damage.
  4. Administer the ordered systemic extravasation antidote dexrazoxane via a newly placed IV site in the left arm.
  5. Flush the right forearm peripheral catheter with 10 mL of normal saline to clear the remaining drug.

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