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: Polyuria (excessive urination) is not a typical manifestation of an allergic reaction to ceftriaxone.
Choice B rationale: Bradycardia is not commonly associated with an allergic reaction to ceftriaxone.
Choice C rationale: Hypotension (low blood pressure) can be a manifestation of an allergic reaction to ceftriaxone. It is crucial for the nurse to recognize this and take appropriate action.
Choice D rationale: Nausea can be a side effect of ceftriaxone but might not solely indicate an allergic reaction.

A. Confusion B. Insomnia C. Bruxism D. Weight loss

Correct Answer is A

Explanation

Choice A rationale: Citalopram is a selective serotonin reuptake inhibitor (SSRI) that increases the level of serotonin in the brain. Serotonin syndrome is a rare but serious adverse effect of SSRIs that can cause confusion, agitation, tremors, seizures, and coma. The nurse should report this finding to the provider immediately, as it can be life-threatening.
Choice B rationale: Insomnia can occur as an adverse effect of citalopram but might not be as immediately concerning as confusion.
Choice C rationale: Bruxism (teeth grinding) can be a side effect of citalopram but might not pose an immediate risk compared to confusion.
Choice D rationale: Weight loss, while a potential side effect, might not be as urgent or immediately concerning as confusion.

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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

A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

Correct Answer is C

Explanation

A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

Correct Answer is A

Explanation

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