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Question 51

The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following administration, the child suffers hypotension, facial flushing, and urticaria.

The initial nursing intervention would be to:

    Correct Answer: B

    If a child with iron poisoning exhibits signs of an allergic reaction such as hypotension, facial flushing, and urticaria after receiving IV deforoxamine mesylate (Desferal), the initial nursing intervention should be to stop the medication and begin a normal saline infusion. This action is necessary to manage the allergic reaction and prevent further complications. Discontinuing the IV line would be inappropriate as the line should be kept open for any potential further medication administration. Taking vital signs and reporting to the physician while allowing the medication to continue flowing could exacerbate the child's condition. Assessing urinary output and maintaining current treatment is inadequate given the evident allergic reaction.

Discussion
zecksOption: B

B. Stop the medication ,and start normal saline infusion