A nurse is initiating IV therapy for a client who had a right-sided mastectomy.
In which of the following locations should the nurse place a catheter?
Most proximal site.
Left arm.
Wrist.
Cordlike vein.
Cordlike vein.
The Correct Answer is B
After a mastectomy, it is important to avoid placing a catheter in the arm on the same side as the surgery to prevent complications such as lymphedema.
Therefore, the nurse should place the catheter in the left arm.
Choice A is wrong because Most proximal site, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Choice C is wrong because Wrist, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Choice D is wrong because Cordlike vein, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale:
Documenting the administration of the medication is crucial for maintaining accurate records and ensuring accountability. However, it is not the first action to take. The priority is to ensure the correct patient receives the correct medication.
Choice B rationale:
Identifying the client using two identifiers is the first and most critical step. This action ensures that the right patient receives the right medication, thereby minimizing the risk of medication errors.
Choice C rationale:
Comparing the amount of medication available to the inventory record is important for maintaining accurate inventory and preventing misuse or theft of controlled substances. However, this is not the first step in the process of administering medication to a patient in pain.
Choice D rationale:
Removing the medication from the medication dispensing cabinet is part of the process, but it should only be done after the patient has been properly identified to avoid any potential errors.
Correct Answer is A
Explanation
This is because pioglitazone can cause fluid retention and edema.
Choice B is wrong because tinnitus (ringing in the ears) is not a common adverse effect of pioglitazone.
Choice C is wrong because insomnia (difficulty sleeping) is not a common adverse effect of pioglitazone.
Choice D is wrong because orthostatic hypotension (a drop in blood pressure when standing up) is not a common adverse effect of pioglitazone.
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