A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select?
Radial vein in the wrist
Median vein in the forearm
Dorsal metacarpal vein
Ante-cubital vein
The Correct Answer is B
Answer: B
Rationale:
A. Radial vein in the wrist: The radial vein is not commonly used for IV catheter insertion due to its location and size. The wrist veins can be smaller and more difficult to cannulate compared to veins in the forearm or antecubital area.
B. Median vein in the forearm: The median vein in the forearm is a preferred site for IV catheter insertion in older adults. It is generally more accessible and less prone to complications than veins in the hand or wrist, making it a suitable choice for stable, longer-term access.
C. Dorsal metacarpal vein: While the dorsal metacarpal veins on the hand can be used for IV insertion, they are typically smaller and more difficult to access than veins in the forearm. Additionally, veins in the hand can be more prone to irritation and complications.
D. Ante-cubital vein: The antecubital vein (such as the median cubital vein) is a good site for IV insertion due to its size and accessibility, especially for larger gauge catheters or when longer-term access is needed. However, it is often preferred for more acute situations rather than routine outpatient procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A, C, B, D, E
Explanation
A. Open the airway using a jaw-thrust maneuver: The first step in a primary survey is to assess the airway and ensure it is open. The jaw-thrust maneuver is used to open the airway without moving the neck in case of a potential cervical spine injury.
C. Determine effectiveness of ventilator efforts: Once the airway is open, the next step is to assess breathing. This includes observing for chest rise and fall, listening for breath sounds, and feeling for air movement.
B. Establish IV access: After the airway and breathing have been assessed, circulation is the next priority. This includes establishing IV access for fluid and medication administration.
D. Perform a Glasgow Coma Scale assessment: The Glasgow Coma Scale is used to assess the client’s level of consciousness, which is part of the disability assessment in the primary survey.
E. Remove clothing for a thorough assessment: Finally, removing the client’s clothing allows for a thorough assessment of injuries. This is typically done after the immediate life-threatening issues have been addressed.
Correct Answer is C
Explanation
A. "HIPAA is a federal law, not a state law": This statement is correct. HIPAA, the Health Insurance Portability and Accountability Act, is a federal law enacted in 1996 to protect the privacy and security of individually identifiable health information. It applies nationwide and sets national standards for the protection of health information.
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form": This statement is accurate. HIPAA regulations govern the privacy and security of protected health information (PHI) in various forms, including verbal, electronic, and written formats. The regulations apply to covered entities such as healthcare providers, health plans, and healthcare clearinghouses.
C. "Information about a client can be disclosed to family members at any time": This statement is incorrect. HIPAA regulations restrict the disclosure of protected health information (PHI) to third parties, including family members, without the patient's authorization, except in certain circumstances outlined in the law. While there are provisions for sharing PHI with family members involved in the patient's care, such disclosures typically require the patient's consent or may be permitted under specific exceptions, such as in emergency situations or when the patient is incapacitated.
D. "A client's address would be an example of personally identifiable information": This statement is accurate. Personally identifiable information (PII) under HIPAA includes any information that can be used to identify an individual, directly or indirectly, including names, addresses, dates of birth, social security numbers, and other demographic data. Therefore, a client's address would indeed be considered personally identifiable information under HIPAA.
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