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 B

Explanation

Choice A rationale: While propranolol withdrawal can have various effects, hyperkalemia isn't typically associated with sudden discontinuation of this medication.
Choice B rationale: Propranolol is a beta-blocker used to treat conditions like hypertension and cardiac arrhythmias. Stopping this medication suddenly can lead to rebound effects, such as an increased heart rate or tachycardia, due to sudden withdrawal of the medication's effects on the heart.
Choice C rationale: Rhinitis is not a typical manifestation of propranolol withdrawal.
Choice D rationale: Bradypnea, or slow breathing, is not commonly associated with the withdrawal effects of propranolol.

A. Potassium chloride 10 mEq/hr B. Bicarbonate by IV infusion C. Subcutaneous insulin injections D. 0.9% sodium chloride 15 mL/kg/hr

Correct Answer is D

Explanation

Choice A rationale: While potassium replacement is important in diabetic ketoacidosis, fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice B rationale: Bicarbonate infusion might be considered in severe acidosis, but fluid administration is the priority.
Choice C rationale: The priority intervention for a client with diabetic ketoacidosis and very high blood glucose levels is to initiate fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice D rationale: The first intervention the nurse should initiate is fluid resuscitation with 0.9% sodium chloride at a rate of 15 mL/kg/hr to restore intravascular volume, improve renal perfusion, and flush out ketones.

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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 reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings?

Correct Answer is B

Explanation

A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?

Correct Answer is D

Explanation

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?

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