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 cephalic vein on the back of the right hand

The radial vein on the left wrist

The basilic vein in the right antecubital fossa

The cephalic vein in the left distal forearm

Answer and Explanation

The Correct Answer is C

Choice A reason:
The cephalic vein on the back of the right hand is incorrect because it might still involve the same arm as the mastectomy site, and it is important to avoid this side.
Choice B reason:
The radial vein on the left wrist is incorrect because it is not on the opposite side of the mastectomy and could increase the risk of lymphedema.
Choice C reason:
The basilic vein in the right antecubital fossa is the appropriate answer. When inserting an IV catheter for a client who has undergone a right mastectomy, it is generally advisable to avoid the arm on the same side as the mastectomy due to the risk of lymphedema and impaired lymphatic drainage. The basilic vein in the right antecubital fossa (the inner bend of the right elbow) would be a suitable choice in this case, as it is on the opposite side of the mastectomy.
Choice D reason:
The cephalic vein in the left distal forearm is on the same side as the mastectomy and should be avoided to reduce the risk of complications.

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Correct Answer is ["A","B","E"]

Explanation

Choice A reason:

Checking medication expiration dates is important to ensure that medications are safe and effective.

Choice B reason:

Having a fire escape plan is crucial in case of emergencies such as fires. It's important for the client and their family to know how to evacuate the home safely.

Choice C reason:

Setting the hot water heater to 140 degrees Fahrenheit is too hot and can lead to scalding. The recommended temperature is typically around 120 degrees Fahrenheit to prevent burns.

Choice D reason:

Applying tape to frayed electrical cords is not a safe practice. Frayed cords should be replaced to avoid electrical hazards.

Choice E reason:

Using grab bars when getting in and out of the bathtub can prevent slips and falls, especially in a potentially slippery environment.

A. Shakiness B. Cool skin C. Thirst D. Confusion

Correct Answer is C

Explanation

A. Shakiness (tremors) is more commonly associated with hypoglycemia, where blood glucose levels drop too low. It is not typically a symptom of hyperglycemia. B. Cool skin is not a typical symptom of hyperglycemia. It is more commonly associated with poor peripheral circulation, which can occur in diabetes but is not specific to hyperglycemia itself. C. Thirst (polydipsia) is a common symptom of hyperglycemia in clients with diabetes mellitus. When blood glucose levels are elevated, the kidneys work to eliminate the excess glucose through urine, leading to increased urine production (polyuria). This increased urine production can result in dehydration, triggering the sensation of thirst as the body tries to maintain fluid balance. Thirst is a more common early indicator. D. Confusion can occur in severe cases of both hyperglycemia (diabetic ketoacidosis) and hypoglycemia. However, it is not specific enough on its own to indicate hyperglycemia without other symptoms like thirst and polyuria.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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