A nurse is preparing to initiate IV therapy for a client.
Which of the following sites should the nurse use to place the peripheral IV catheter?

Dominant antecubital basilic vein.

Nondominant dorsal venous arch.

Dominant distal dorsal vein.

Nondominant forearm basilic vein

Answer and Explanation

The Correct Answer is D

This site is preferred for peripheral IV catheter placement because it is comfortable, has good blood flow, and has a lower risk of complications than the dominant arm or the antecubital fossa.

Choice A is wrong because the dominant antecubital basilic vein is more prone to dislodgement, thrombosis, and thrombophlebitis due to frequent movement of the elbow joint.

Choice B is wrong because the nondominant dorsal venous arch is a distal site that may have poor blood flow and higher resistance to infusion. It should be avoided unless there are no other options.

Choice C is wrong because the dominant distal dorsal vein is also a distal site that may have poor blood flow and higher resistance to infusion. It should be avoided unless there are no other options.

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Correct Answer is B

Explanation

Hot flashes are a common side effect of tamoxifen, which is hormone therapy for breast cancer that blocks the action of estrogen.

Tamoxifen can cause menopause-like symptoms in women, such as irregular or missing periods, vaginal discharge or bleeding, and mood changes. Choice A is wrong because tinnitus (ringing in the ears) is not a known side effect of tamoxifen.

Choice C is wrong because urinary frequency (needing to urinate more often) is not a known side effect of tamoxifen.

Choice D is wrong because constipation (difficulty passing stools) is not a known side effect of tamoxifen.

A. The client has a BUN level of 18 mg/dL. B. The client reports a history of nausea with cefuroxime. C. The client has a history of a severe penicillin allergy. D. The client takes an aspirin daily.

Correct Answer is C

Explanation

This is the priority for the nurse to report to the provider because cefuroxime is a cephalosporin antibiotic that can cause serious or life-threatening allergic reactions in people who are allergic to penicillin. The nurse should not administer cefuroxime to this client until the provider is notified and an alternative antibiotic is prescribed.

Choice A is wrong because the client has a BUN level of 18 mg/dL, which is within the normal range of 7 to 20 mg/dL.

This does not indicate any renal impairment or adverse reaction to cefuroxime.

Choice B is wrong because the client reports a history of nausea with cefuroxime, which is a common side effect of this drug.

The nurse should instruct the client to take cefuroxime with food to reduce nausea, but this is not a priority to report to the provider.

Choice D is wrong because the client takes aspirin daily, which does not interact with cefuroxime.

The nurse should monitor the client for any signs of bleeding or bruising while taking aspirin, but this is not a priority to report to the provider.

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A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking tamoxifen to treat breast cancer. The nurse should identify which of the following manifestations as an adverse effect of this medication?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?

Correct Answer is C

Explanation

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A nurse is preparing to initiate IV therapy for a client.
Which of the following sites should the nurse use to place the peripheral IV catheter?