A nurse is initiating IV therapy for client who had a right-sided mastectomy. In which of the following locations should the nurse place a catheter?

Wrist

Most proximal site

Cordlike vein

Left arm

Answer and Explanation

The Correct Answer is D

Choice A rationale: The wrist might not be the optimal site for IV catheter placement following a mastectomy due to potential limitations in venous access and increased risk of complications.
Choice B rationale: The most proximal site is not a specific location and may vary depending on the client's condition and anatomy.
Choice C rationale: The nurse should also avoid placing a catheter in a cordlike vein because they are more prone to infiltration, phlebitis, and nerve damage.
Choice D rationale: The left arm is the safest site to avoid complications such as lymphedema, infection, or thrombosis.

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Correct Answer is D

Explanation

Choice A rationale: Insomnia is not a typical side effect associated with pioglitazone use.
Choice B rationale: Orthostatic hypotension is not a commonly reported adverse effect of pioglitazone.
Choice C rationale: Tinnitus is not a recognized side effect of pioglitazone.
Choice D rationale: Pioglitazone, an antidiabetic medication, is known for its potential side effect of fluid retention, making it essential for nurses to monitor clients for signs of edema or fluid overload.

A. "I will take the medication on an empty stomach." B. "I will double up on my medication if I miss a dose." C. "I will use salt substitutes in place of table salt." D. "I will limit potassium-rich foods in my diet."

Correct Answer is D

Explanation

Choice A rationale: Taking spironolactone with or without food does not significantly affect its absorption.
Choice B rationale: Doubling the dose without consulting a healthcare provider can lead to adverse effects.
Choice C rationale: Using salt substitutes containing potassium might exacerbate hyperkalemia.
Choice D rationale: Spironolactone, a potassium-sparing diuretic, can increase potassium levels. Limiting potassium-rich foods is essential to prevent hyperkalemia, indicating an understanding of the teaching.

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A nurse is initiating IV therapy for client who had a right-sided mastectomy. In which of the following locations should the nurse place a catheter?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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