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 in the left distal forearm
The cephalic vein on the back of the right hand
The basilic vein in the right antecubital fossa
The Correct Answer is B
When selecting a vein for IV therapy, it is important to consider several factors, including accessibility, integrity, and suitability of the vein. In this case, the client has undergone a right mastectomy, which means the right arm and hand on the affected side might be compromised due to surgery and potential lymphedema. Therefore, it is advisable to avoid using the veins on the affected side.
The cephalic vein in the left distal forearm is a suitable choice because it is on the opposite side of the mastectomy and provides accessibility for venipuncture. It is important to assess the integrity and condition of the vein before insertion to ensure it can accommodate the IV catheter and maintain patency throughout the infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The contemplation stage is characterized by the client's acknowledgment of the need for change but having mixed feelings and ambivalence about making the actual change. During this stage, the nurse should provide information and education to the client about the benefits of quitting smoking. This can include discussing the health risks associated with smoking, such as increased risk of cardiovascular diseases, respiratory problems, and certain types of cancer.
Presenting this information can help the client gain a better understanding of the positive impact quitting smoking can have on their health and well-being.
Developing a plan for the client to integrate the change into her lifestyle is more suitable for the preparation stage, where the client is actively planning and preparing to make the behavior change. During the contemplation stage, the client is not yet ready for detailed planning, but rather exploring their feelings and concerns about the behavior change.
Making small changes over time is more aligned with the action stage, where the client is actively making changes to their behavior. In the contemplation stage, the client is not yet ready for making immediate changes and is still weighing the pros and cons of quitting smoking.
Setting goals is more appropriate for the preparation stage, where the client is actively preparing to make the behavior change. During the contemplation stage, the client is still considering the change and may not be ready to set specific goals.
Correct Answer is C
No explanation
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