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: Presence of pedal pulses bilaterally is a normal finding and does not reflect the status of the blood clot.
Choice B rationale: Decreased INR is a measure of how quickly the blood clots and is used to monitor warfarin therapy, not heparin therapy.
Choice C rationale: A reduced calf circumference indicates that the swelling caused by the blood clot has decreased, which means that the heparin therapy is working.
Choice D rationale: Platelet levels are not the primary indicator of the effectiveness of heparin therapy for deep-vein thrombosis.
Correct Answer is C
Explanation
Choice A rationale: Polyuria (excessive urination) is not a typical manifestation of an allergic reaction to ceftriaxone.
Choice B rationale: Bradycardia is not commonly associated with an allergic reaction to ceftriaxone.
Choice C rationale: Hypotension (low blood pressure) can be a manifestation of an allergic reaction to ceftriaxone. It is crucial for the nurse to recognize this and take appropriate action.
Choice D rationale: Nausea can be a side effect of ceftriaxone but might not solely indicate an allergic reaction.
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