Difficulty: Medium
Average Score: 90%
Simulated
A client receiving infliximab through intravenous infusion is reporting difficulty swallowing. Which immediate action would the nurse take?
Correct answer
A
Rationale
The correct immediate action for the nurse to take in this scenario is to shut off the intravenous infusion (Answer A). Difficulty swallowing can be a sign of a severe adverse reaction such as anaphylaxis, which can be life-threatening. By stopping the infusion, the nurse can prevent further administration of the medication and assess the client's condition. This action prioritizes client safety and prevents potential complications.
Notifying the primary health care provider (Answer B) could cause a delay in the intervention, putting the client at risk. Having the client take deep breaths and try to relax (Answer C) is not appropriate as it does not address the potential serious complication. Obtaining a prescription for oral diphenhydramine (Answer D) is not the immediate action needed to address the client's difficulty swallowing.
Notifying the primary health care provider (Answer B) could cause a delay in the intervention, putting the client at risk. Having the client take deep breaths and try to relax (Answer C) is not appropriate as it does not address the potential serious complication. Obtaining a prescription for oral diphenhydramine (Answer D) is not the immediate action needed to address the client's difficulty swallowing.