A nurse is initiating IV therapy for client who had a right-sided mastectomy. In which of the following locations should the nurse place a catheter?

Wrist

Most proximal site

Cordlike vein

Left arm

Answer and Explanation

The Correct Answer is D

Choice A rationale: The wrist might not be the optimal site for IV catheter placement following a mastectomy due to potential limitations in venous access and increased risk of complications.
Choice B rationale: The most proximal site is not a specific location and may vary depending on the client's condition and anatomy.
Choice C rationale: The nurse should also avoid placing a catheter in a cordlike vein because they are more prone to infiltration, phlebitis, and nerve damage.
Choice D rationale: The left arm is the safest site to avoid complications such as lymphedema, infection, or thrombosis.

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Correct Answer is C

Explanation

Choice A rationale: Hypotension is not a common side effect of prednisone use.
Choice B rationale: Prednisone can also suppress the immune system, so the client should avoid immunizations that contain live viruses or bacteria.
Choice C rationale: Prednisone is a corticosteroid that can cause osteoporosis and increase the risk of fractures in long-term use. Therefore, the nurse should instruct the client to consume a diet high in calcium and vitamin D to prevent bone loss and promote bone health.
Choice D rationale: Prednisone use is more likely to cause hyperglycemia rather than hypoglycemia.

A. Reconstitute the medication with a 5% dextrose solution. B. Monitor the client for hearing loss. C. Implement a high-fiber diet to prevent constipation. D. Administer the medication over 10 min.

Correct Answer is B

Explanation

Choice A rationale: Erythromycin lactobionate should be reconstituted with sterile water for injection, not dextrose solution. Dextrose solution can cause precipitation and reduce the effectiveness of the medication.
Choice B rationale: Erythromycin lactobionate is a macrolide antibiotic that can cause ototoxicity, which is damage to the inner ear that can result in hearing loss, tinnitus, or vertigo. The nurse should monitor the client for signs of ototoxicity and report any changes to the provider.
Choice C rationale: Erythromycin lactobionate can cause diarrhea, not constipation. The nurse should advise the client to drink plenty of fluids and monitor for signs of dehydration.
Choice D rationale: Erythromycin lactobionate should be administered over 20 to 60min, depending on the dose and the client's condition. Administering the medication too rapidly can cause phlebitis, thrombophlebitis, or cardiac arrhythmias.

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A nurse is initiating IV therapy for client who had a right-sided mastectomy. In which of the following locations should the nurse place a catheter?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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