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

A. Dominant antecubital basilic vein:
While the basilic vein in the antecubital area is a suitable site, the nondominant arm is generally preferred when possible to minimize interference with the client's activities.
B. Nondominant dorsal venous arch:
The dorsal venous arch, located on the back of the hand or wrist, is a common site for peripheral IV catheter placement. It is preferred over other sites like the antecubital area due to lower risks of complications such as phlebitis and infiltration. Additionally, using the nondominant hand reduces interference with daily activities.
C. Dominant distal dorsal vein:
The dorsal veins are generally not the first choice for peripheral IV catheter placement due to the potential for complications such as infiltration.
D. Nondominant forearm basilic vein:

Nondominant forearm basilic vein: The basilic vein in the nondominant forearm is often a suitable site for peripheral IV catheter placement. The nondominant arm is preferred when feasible to minimize disruption of activities for the client. However, its preferred to start the IV infusion distally to provide the option of proceeding up the extremity if the vein is ruptured or infiltration occurs; if infiltration occurs from the antecubital vein, the lower veins in the same arm usually should not be used for further puncture sites.

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Correct Answer is A

Explanation

A. Fever (Correct Answer): An acute infusion reaction to amphotericin B can manifest with symptoms such as fever, chills, and rigors. An elevated body temperature is indicative of a systemic response to the medication and may suggest an infusion reaction.
B. Dry cough: While respiratory symptoms can be associated with amphotericin B infusion reactions, a dry cough is not a specific indicator. Respiratory symptoms may include dyspnea, chest pain, or coughing, but other signs such as fever are more characteristic of an acute infusion reaction.
C. Hyperglycemia: Hyperglycemia is not typically associated with amphotericin B infusion reactions. The side effects of amphotericin B are more commonly related to its antifungal properties and may include renal toxicity, electrolyte imbalances, and infusion-related reactions, but not hyperglycemia.
D. Pedal edema: Pedal edema (swelling of the feet) is not a typical manifestation of an acute amphotericin B infusion reaction. Infusion reactions are more likely to involve systemic symptoms such as fever, chills, and rigors

A. Infiltration B. Extravasation C. Venous spasm D. Phlebitis

Correct Answer is D

Explanation

A. Infiltration:
Infiltration refers to the inadvertent administration of a non-vesicant solution into the surrounding tissue. It is characterized by swelling, pallor, and coolness at the infusion site, but redness and inflammation along the vein are not typical signs of infiltration.
B. Extravasation:
Extravasation occurs when a vesicant solution (a substance that can cause tissue damage) infiltrates into the surrounding tissue. It can cause tissue damage and necrosis. While inflammation is a concern with extravasation, it is not the primary sign, and redness may occur later.
C. Venous spasm:
Venous spasm involves the constriction of the blood vessel, leading to decreased blood flow. It is not typically associated with redness and inflammation along the vein.
D. Phlebitis:
This is the correct answer. Phlebitis refers to inflammation of a vein, and it is characterized by redness, warmth, and tenderness along the course of the vein. Phlebitis can be caused by various factors, including irritants in the infused solution, mechanical trauma, or infection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving intravenous therapy and observes redness and inflammation along the vein. The nurse should identify this finding as which of the following complications of IV therapy?

Correct Answer is D

Explanation

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