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 D

Explanation

A. "If I were you, I would get the vaccine to keep my family safe:"
This statement imposes the nurse's personal opinion on the client and may not respect the client's autonomy and decision-making.
B. "Influenza can be very serious to anyone who does not receive the vaccine:"
While this statement conveys the seriousness of influenza, it may be perceived as coercive or fear-inducing. It is important to provide information without pressure.
C. "The influenza vaccine is mandatory for all clients before discharge, so you will need to sign an against medical advice form:"
This statement is not accurate and may create unnecessary tension. Influenza vaccination is generally not mandatory, and clients have the right to decline without being labeled against medical advice for this particular vaccination.
D. "The influenza vaccine is strongly encouraged, but I understand you would like to decline right now:"
This is the correct answer. It acknowledges the client's decision to decline the vaccine while expressing that the vaccine is encouraged. It respects the client's autonomy and allows for open communication about the decision.

A. Withdraw the NPH insulin from the vial. B. inject air into the NPH vial C. Withdraw the regular insulin from the vial D. Inject air into the regular insulin vial.

Correct Answer is B, D, C, A

Explanation

A. Inject air into the NPH insulin vial: Start by injecting air into the NPH insulin vial. This step prevents creating a vacuum in the vial, making it easier to withdraw the correct dose of insulin.

B. Inject air into the regular insulin vial: After injecting air into the NPH insulin vial, inject air into the regular insulin vial. This step equalizes the pressure within the vial and makes it easier to withdraw the insulin.

C. Withdraw the regular insulin from the vial: Once the air has been injected into the regular insulin vial, withdraw the required dose of regular insulin from the vial.

D. Withdraw the NPH insulin from the vial: After withdrawing the regular insulin, withdraw the required dose of NPH insulin from its vial.

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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

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Correct Answer is D

Explanation

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Correct Answer is B, D, C, A

Explanation

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