What is a critical nursing consideration during the administration of intravenous chemotherapy?

Monitoring for signs of extravasation is a critical nursing consideration during the administration of intravenous chemotherapy due to the potential for serious tissue damage if the chemotherapy agent leaks out of the vein and into the surrounding tissue. Extravasation can cause pain, swelling, and necrosis, which may lead to long-term complications or the need for surgical intervention. Nurses must be vigilant in observing the IV site for any signs of leakage, such as swelling, redness, or discomfort, and be prepared to take immediate action if extravasation is suspected.

While assessing the patient’s appetite, monitoring fatigue levels, and ensuring hydration are important aspects of overall patient care in oncology nursing, they do not carry the same immediate risk of harm associated with extravasation. Ensuring proactive measures to prevent and address extravasation is paramount to safeguard the patient's physical well-being during chemotherapy treatment.