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 Reason:
The radial vein on the left wrist is not the best choice because it is on the same side as the right mastectomy, and it is advisable to avoid the same side as the surgical site to minimize potential complications.
Choice B Reason:
The cephalic vein on the back of the right hand is not a suitable choice because it is on the same side as the right mastectomy, and it is generally recommended to avoid the ipsilateral (same-side) arm for IV access in such cases.
When initiating IV therapy for a client following a right mastectomy, it is generally advisable to avoid the arm on the same side as the mastectomy (in this case, the right arm) to minimize the risk of complications. Therefore, the nurse should select a vein in the left arm.
Choice C Reason:
The cephalic vein in the left distal forearm is appropriate. Selecting a vein in the left arm, such as the cephalic vein in the left distal forearm, would help reduce the risk of lymphedema and other complications associated with the right mastectomy site. It is essential to choose an appropriate vein while considering the client's medical history and potential sources of complications.
Choice D Reason:
The basilic vein in the right antecubital fossa is also on the same side as the right mastectomy and should be avoided for the same reasons mentioned above.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Assuring the client that the provider will come to talk to him when she gets the chance doesn't address the client's immediate need for information and involvement in their care.
Choice B Reason:
Explaining that the client should trust the provider based on her reputation is not an effective way to address the client's specific concerns and questions about their treatment and discharge plan.
Choice C Reason:
Inform the provider that the client is requesting information about his treatment plan.
Here's why this action is the best choice:
1. Patient-Centered Care: The nurse should advocate for the client's right to know and understand their treatment plan and discharge process. This empowers the client to be an active participant in their own care.
2. Collaboration: Informing the provider of the client's request helps facilitate communication between the client and the healthcare team. It ensures that the client's concerns are addressed by the most appropriate person.
Choice D Reason:
Telling the client that the provider will discharge him when she feels he is ready to leave does not provide the client with the information they are seeking about the process and timing of their discharge. It may also not align with the principles of patient-centered care and shared decision-making.
Correct Answer is A
Explanation
Choice A Reason:
Unplug the pump. Unplugging the pump immediately stops the potential electrical hazard and ensures the client's safety. This should be the first action taken in response to sparks when plugging in an electrical device.
Choice B Reason:
Notifying the biomedical department to fix the pump is an important step, but it is not the first action to take in response to sparks, as this does not immediately address the potential safety hazard.
Choice C Reason:
Labeling the pump with a defective equipment sticker is a subsequent action that can help identify the equipment as faulty. However, it does not eliminate the immediate electrical hazard.
Choice D Reason:
Obtaining a replacement pump can be necessary, but it should come after the immediate safety concern is addressed by unplugging the current pump.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today