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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Platelet count monitoring is not specific to warfarin therapy; it's essential for other conditions but not primarily for warfarin monitoring.
Choice B rationale: артт (activated partial thromboplastin time) is more relevant for assessing heparin therapy.
Choice C rationale: INR monitoring is essential for clients on warfarin therapy to assess its anticoagulant effect and maintain therapeutic levels.
Choice D rationale: Fibrinogen monitoring is not specific to warfarin therapy.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale: For subcutaneous injections like enoxaparin, the entire length of the needle needs to be inserted to ensure that the medication reaches the fatty tissue under the skin and reduces the risk of bleeding or bruising.
Choice B rationale: The client should not massage the insertion site after injecting the medication, as this may increase the risk of hematoma formation.
Choice C rationale: The client should alternate injection sites between the sides of the abdomen to prevent bruising and irritation.
Choice D rationale: The client should also grasp the skin between the thumb and forefinger while injecting the medication to create a fold of tissue. This ensures that the medication is delivered into the subcutaneous layer and not the muscle.
Choice E rationale: The client should not expel the air bubble from the prefilled syringe, as this helps to seal the medication in the tissue and prevent leakage while ensuring that you receive the full dose of medication.
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