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 radial vein on the left wrist
The cephalic vein in the left distal forearm
The cephalic vein on the back of the right hand
The basilic vein in the right antecubital fossa
The Correct Answer is B
When selecting a vein for IV therapy, it is important to consider several factors, including accessibility, integrity, and suitability of the vein. In this case, the client has undergone a right mastectomy, which means the right arm and hand on the affected side might be compromised due to surgery and potential lymphedema. Therefore, it is advisable to avoid using the veins on the affected side.
The cephalic vein in the left distal forearm is a suitable choice because it is on the opposite side of the mastectomy and provides accessibility for venipuncture. It is important to assess the integrity and condition of the vein before insertion to ensure it can accommodate the IV catheter and maintain patency throughout the infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The client's emotional response is a normal reaction to the surgery and may be related to changes in her body image and self-esteem. By acknowledging the client's feelings, the nurse can establish a trusting relationship and help the client to cope with her situation. Encouraging the client to assist with her dressing changes or providing her with a mirror may be appropriate interventions later, but the nurse should address the client's emotional needs first. Referring the client to a breast cancer support group may also be appropriate, but this should be done in collaboration with the client after assessing her readiness and willingness to participate.
Correct Answer is C
Explanation
Immediately transcribe the medication orderto facilitate accurate documentation of the prescription.Delaying this documentation step can contribute to erroneous transcription.
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