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?

Nondominant dorsal

Nondominant forearm basilic vein

Dominant distal dorsal vein

Dominant antecubital basilic vein

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The dorsal vein is not typically used for peripheral IV catheter placement due to its location and potential for complications.

Choice B rationale:

The nondominant forearm basilic vein is a common site for peripheral IV catheter placement due to its accessibility and stability.

Choice C rationale:

The distal dorsal vein is not a common site for peripheral IV catheter placement.

Choice D rationale:

The antecubital basilic vein can be used, but the nondominant forearm basilic vein is often preferred for peripheral IV catheter placement due to its accessibility and stability.

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Correct Answer is D

Explanation

Choice A rationale:

Storing the remaining half of the pill could lead to potential confusion and medication errors in the future.

Choice B rationale:

Placing the remaining half of the pill in a unit-dose package is not recommended, as the packaging is intended for a single dose.

Choice C rationale:

Returning the remaining medication to the pharmacy is not necessary, and proper disposal is the appropriate action.

Choice D rationale:

Disposing of the remaining medication in the presence of another nurse ensures proper disposal and prevents the medication from being used inappropriately.

A. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered. B. The client's absolute neutrophil count was 2.500/mm3 before the medication was administered. C. The client had chemotherapy 12 hr before the medication was administered. D. The medication vial sat at room temperature for 2 hr before it was administered.

Correct Answer is D

Explanation

A: Flushing an IV line with dextrose 5% in water before and after medication administration is a common practice to ensure that the medication is delivered properly and to prevent interactions in the IV line. This would not typically require an incident report.
B: An absolute neutrophil count of 2.500/mm3 is within the normal range for patients undergoing chemotherapy and would not typically necessitate an incident report.
C: Having chemotherapy 12 hours before the administration of filgrastim does not contraindicate its use and is within the appropriate time frame as filgrastim is often given after chemotherapy to help recover white blood cell counts.
D: According to the guidelines, filgrastim should be stored in the refrigerator and allowing it to sit at room temperature for 2 hours could compromise its effectiveness. This is a deviation from the medication's storage requirements and could potentially harm the patient, thus an incident report should be filed.

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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 administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?

Correct Answer is D

Explanation

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Explanation

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