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 on the back of the right hand
The cephalic vein in the left distal forearm
The basilic vein in the right antecubital fossa
The Correct Answer is C
Choice A rationale:
The radial vein on the left wrist is not typically chosen for IV therapy. Additionally, proximity to the mastectomy site may be a consideration.
Choice B rationale:
The cephalic vein on the back of the right hand is not typically selected, especially following a right mastectomy. Choosing a vein on the affected side may increase the risk of complications.
Choice C rationale:
The cephalic vein in the left distal forearm is a suitable choice. It is on the opposite side of the mastectomy and allows for effective IV therapy.
Choice D rationale:
The basilic vein in the right antecubital fossa is on the affected side and may pose a higher risk of complications. Choosing a vein on the opposite side is generally preferred.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Room number is not a specific client identifier and does not ensure accurate identification.
Choice B rationale:
Age is not a unique identifier and may not differentiate between clients with the same age.
Choice C rationale:
Bed number alone is not sufficient for accurate client identification.
Choice D rationale:
A photograph is a reliable client identifier and ensures accurate identification before administering medication or performing procedures.
Correct Answer is B
Explanation
- A. Calcium 9.6 mg/dL: This value is within the normal range for calcium, which is typically between 8.7 to 10.2 mg/dL. Therefore, this value does not need to be reported to the provider.
- B. Potassium 5.8 mEq/L: This value is above the normal range for potassium, which is generally between 3.5 to 5.0 mEq/L. Elevated potassium levels can be dangerous and may indicate hyperkalemia, which requires prompt medical attention.
- C. Magnesium 1.9 mEq/L: This value falls within the normal range for magnesium, which is usually between 1.6 to 2.2 mg/dL. Thus, this is not a value that would typically be reported to the provider.
- D. Sodium 140 mEq/L: This value is within the normal range for sodium, which is commonly between 135 to 145 mEq/L. As such, it does not need to be reported to the provider.
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