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. INR 1.0: The International Normalized Ratio (INR) is a measure of blood clotting. A value of 1.0 is within the normal range, so there is no immediate concern related to furosemide administration based on this INR value.
B. WBC count 8,000/mm³: The white blood cell count is not directly related to furosemide administration, and the value of 8,000/mm³ is within the normal range. There is no immediate concern based on this WBC count.
C. Sodium 141 mEq/L: The sodium level is within the normal range, and it is not a contraindication for furosemide administration.
D. Potassium 2.5 mEq/L: A potassium level of 2.5 mEq/L is significantly below the normal range. Furosemide is a loop diuretic that can lead to potassium loss, and administering it when the potassium level is already low can further decrease potassium levels, potentially leading to serious complications such as cardiac arrhythmias. Therefore, the nurse should withhold the medication and contact the provider to address the low potassium level before administering furosemide.

A. Decrease in urine output B. Increase in serum glucose C. Increase in WBC count D. Decrease in blood pressure

Correct Answer is A

Explanation

A. Decrease in urine output:
This is the correct answer. Desmopressin is a synthetic form of antidiuretic hormone (ADH) that works to reduce urine output in individuals with diabetes insipidus. A decrease in urine output indicates a positive response to the medication.
B. Increase in serum glucose:
Desmopressin does not have a direct effect on serum glucose levels. Its primary action is to increase water reabsorption in the kidneys, reducing urine output.
C. Increase in WBC count:
Desmopressin does not have a direct impact on white blood cell (WBC) count. Its main action is on fluid balance and urine concentration.
D. Decrease in blood pressure:
Desmopressin can cause a mild increase in blood pressure, particularly at higher doses. However, blood pressure changes are not the primary therapeutic effect of desmopressin in the context of diabetes insipidus.

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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 reviewing a client's laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse withhold the medication and contact the provider?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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