A nurse is preparing to insert an IV catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating IV therapy?

The cephalic vein on the back of the right hand

The radial vein on the left wrist

The basilic vein in the right antecubital fossa

The cephalic vein in the left distal forearm

Answer and Explanation

The Correct Answer is C

Choice A reason:
The cephalic vein on the back of the right hand is incorrect because it might still involve the same arm as the mastectomy site, and it is important to avoid this side.
Choice B reason:
The radial vein on the left wrist is incorrect because it is not on the opposite side of the mastectomy and could increase the risk of lymphedema.
Choice C reason:
The basilic vein in the right antecubital fossa is the appropriate answer. When inserting an IV catheter for a client who has undergone a right mastectomy, it is generally advisable to avoid the arm on the same side as the mastectomy due to the risk of lymphedema and impaired lymphatic drainage. The basilic vein in the right antecubital fossa (the inner bend of the right elbow) would be a suitable choice in this case, as it is on the opposite side of the mastectomy.
Choice D reason:
The cephalic vein in the left distal forearm is on the same side as the mastectomy and should be avoided to reduce the risk of complications.

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Correct Answer is A

Explanation

Choice A reason:
Increased night-time sleeping is the appropriate finding. As individuals age, it is common for their sleep patterns to change. Older adults often experience changes in their sleep duration, including increased night-time sleeping and daytime napping. This can be attributed to changes in circadian rhythm and other factors.
Choice B reason:
A heightened sense of pain is incorrect. Older adults may experience a decreased sensitivity to pain, known as hypoalgesia, due to changes in the nervous system.
Choice C reason:
Decreased sense of balance is incorrect. While changes in balance can occur with aging, they are not universal. Many older adults maintain good balance through exercise and other strategies.
Choice D reason:
Night-time urinary incontinence is incorrect. While some older adults may experience night-time urinary incontinence, it is not a universally expected finding and can be influenced by various factors, including overall health and lifestyle.

A. Ensure the gloves in the surgical suite are powdered gloves. B. Schedule the client as the first surgical procedure of the day. C. Remove the stopcocks from the IV tubing. D. Cleanse the stoppers with povidone-iodine before withdrawing the medication.

Correct Answer is B

Explanation

Choice A reason:
Powdered gloves are more likely to release latex particles into the air, which can increase the risk of exposure for a client with a latex allergy. Therefore, using non-powdered gloves is recommended.
Choice B reason:
Scheduling the client as the first surgical procedure of the day is the appropriate action because it can help minimize the risk of latex exposure. This is because latex particles released into the air during previous surgeries can settle in the surgical environment, increasing the risk for individuals with latex allergies. By scheduling the client's surgery as the first procedure, the likelihood of exposure to residual latex particles is reduced.
Choice C reason:
Removing the stopcocks from IV tubing does not directly address the risk of latex exposure in a surgical setting.
Choice D reason:
Cleansing stoppers with povidone-iodine is a good practice for infection control but does not specifically address the risk of latex exposure for a client with a latex allergy during surgery.

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A nurse is preparing to insert an IV catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating IV therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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