A nurse is initiating IV therapy for a client who had a right-sided mastectomy.
In which of the following locations should the nurse place a catheter?
Most proximal site.
Left arm.
Wrist.
Cordlike vein.
Cordlike vein.
The Correct Answer is B
After a mastectomy, it is important to avoid placing a catheter in the arm on the same side as the surgery to prevent complications such as lymphedema.
Therefore, the nurse should place the catheter in the left arm.
Choice A is wrong because Most proximal site, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Choice C is wrong because Wrist, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Choice D is wrong because Cordlike vein, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Total parenteral nutrition (TPN) is a highly concentrated solution that provides nutrients to the body intravenously.
It is typically administered through a central venous access device, such as a central venous catheter or a peripherally inserted central catheter (PICC), because it can irritate the walls of smaller veins.
Choice B is wrong because Midline catheter, is not an appropriate route for TPN administration because it is not a central venous access device.
Choice C is wrong because Subcutaneous, is not an appropriate route for TPN administration because it is not given intravenously.
Choice D is wrong because Intraosseous, is not an appropriate route for TPN administration because it is typically used in emergency situations when intravenous access cannot be obtained.
Correct Answer is A
Explanation
Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.
Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.
Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.
Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.
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