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 A
Explanation
Choice A rationale:
Tuberculosis is transmitted via airborne droplets, so airborne precautions are necessary. The nurse should wear an N95 respirator mask when caring for the client, and the client should be placed in a negative pressure room. Airborne precautions include wearing a respirator mask, placing the client in a negative pressure room, and limiting the movement of the client outside the room.
Choice B rationale:
Droplet precautions are used for infections that are spread by large respiratory droplets, such as influenza or pertussis.
Choice C rationale:
Contact precautions are used for infections that are spread by direct or indirect contact with the client or their environment, such as scabies or Clostridium difficile.
Choice D rationale:
Protective precautions are used for clients who are immunocompromised and at risk of infection from others, such as those who have had a stem cell transplant or chemotherapy.
Correct Answer is B
Explanation
Choice A rationale:
Placing an oval corn pad over toes and removing it weekly may increase the risk of infection and skin breakdown. Continuous use of pads can trap moisture, potentially leading to complications for individuals with diabetes.
Choice B rationale:
Applying lotion to soften calluses without putting lotion between the toes is correct. Moisturizing can help prevent dry skin, but it's essential to avoid moisture between the toes to prevent fungal infections. The emphasis on proper foot care aligns with diabetes management, where foot health is crucial.
Choice C rationale:
Using over-the-counter liquid medication to remove corns without professional guidance can lead to complications and skin damage. It's important to involve healthcare providers in the management of foot issues in individuals with diabetes.
Choice D rationale:
Soaking feet in warm water daily can contribute to moisture, increasing the risk of fungal infections. It's generally not recommended for individuals with diabetes, emphasizing the importance of avoiding excessive moisture.
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