A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. in which of the following locations should the nurse place the catheter?

A vein that feels hard to the touch

A vein in the client's dominant arm

A vein proximal to the previous site

A vein on the client's wrist

Answer and Explanation

The Correct Answer is C

A. A vein that feels hard to the touch:
A vein that feels hard to the touch may indicate thrombosis or inflammation and is not a suitable site for catheter insertion.
B. A vein in the client's dominant arm:
The choice of arm may depend on the client's preference, but it is not a strict rule. The nurse can choose a suitable vein in either arm based on factors such as accessibility and vein condition.
C. A vein proximal to the previous site:
This is the correct answer. Placing the catheter proximal (above or upstream) to the previous site helps minimize the risk of complications such as infiltration and thrombophlebitis at the new site. It allows for optimal vein health and reduces the likelihood of complications associated with repeated punctures in the same area.
D. A vein on the client's wrist:
Veins on the wrist may be smaller and more prone to complications. It is generally recommended to choose larger, more accessible veins for catheter insertion.

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Correct Answer is C

Explanation

A. Transdermal: Epoetin alfa is not available for transdermal administration. It's a medication typically administered by injection.
B. Oral: Epoetin alfa is not orally active and is not available in oral form. The oral route is not suitable for this medication due to its large molecular size and degradation in the digestive system.
C. Intravenous (IV): This is the correct route for administering epoetin alfa. It is usually given as an intravenous injection in clinical settings.
D. Inhalation: Epoetin alfa is not formulated for inhalation. It is not administered through the respiratory system but rather through injection, most commonly intravenously.

A. INR B. Potassium level C. WBC count D. BUN

Correct Answer is C

Explanation

A. INR (International Normalized Ratio): INR is a measure of blood clotting and is not directly affected by filgrastim, which stimulates the production of white blood cells. Monitoring INR is more relevant when assessing anticoagulant therapy.
B. Potassium level: Filgrastim does not directly influence potassium levels. Monitoring potassium is important for certain medications and conditions, but it is not the primary parameter to evaluate the effectiveness of filgrastim.
C. WBC count: Filgrastim (granulocyte colony-stimulating factor) is used to stimulate the production of white blood cells, specifically neutrophils. Monitoring the white blood cell count is crucial in evaluating the effectiveness of filgrastim treatment. An increase in the WBC count, particularly the neutrophil count, indicates a positive response to the medication.
D. BUN (Blood Urea Nitrogen): BUN is a measure of kidney function and is not directly influenced by filgrastim. While monitoring kidney function is important in general patient care, it is not the primary parameter to assess the effectiveness of filgrastim.

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A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. in which of the following locations should the nurse place the catheter?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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