A patient receiving intravenous doxorubicin reports burning and pain at the cannula site. The area is becoming swollen and red. What is the priority nursing action?

Correct answer: B. Stop the infusion and leave the cannula in place

  • A. Slow the infusion and apply gentle pressure
  • B. Stop the infusion and leave the cannula in place
  • C. Remove the cannula and flush the site with saline
  • D. Apply a warm compress and continue the infusion

Explanation

These findings suggest extravasation of a vesicant drug. Stop the infusion immediately, leave the cannula in place to aspirate residual drug and give any prescribed antidote, then follow the local extravasation protocol.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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Covers cancer biology, tumour staging, common malignancies and nursing care during surgery, chemotherapy, radiotherapy, immunotherapy and palliative treatment. It includes managing nausea, pain, fatigue, mucositis, neutropenia and extravasation, while distinguishing expected treatment effects from dangerous complications requiring urgent action.

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