A patient is prescribed to receive a continuous infusion of IV fluids. When preparing to place the catheter, the nurse notes that the client has a dialysis fistula in the right arm and had a left breast mastectomy three years prior. What should the nurse
a. Place the catheter in the left hand.
b. Place the catheter in the right foot.
c. Place the catheter in the right hand.
d. Ask the physician where to place the catheter.
ANS: D
D. The patient has contraindications for placement of the catheter in either arm. A. C. Limbs for IV catheter placement are avoided because of dialysis shunt placement and mastectomies. The only approach for the nurse to take is to ask the physician in which limb the IV catheter can be safely placed. B. The lower extremities are not routinely used for IV catheter placement.
You might also like to view...
The nurse is caring for a 4-year-old child diagnosed with H. influenzae type B. Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis? (Select all that apply.)
a. Harsh cough b. Restlessness c. Edematous epiglottis d. Child insists on lying down e. Drooling
What is the best explanation for a 2-year-old child who is quiet and withdrawn on the fourth day of a hospital admission?
a. The child is protesting her separation from her caregivers. b. The child has adjusted to the hospitalization. c. The child is experiencing the despair stage of separation. d. The child has reached the stage of detachment.
Patients in health care settings often are anxious. What behaviors would lead a nurse to believe that a patient is anxious? (Select all that apply.)
A) Rapid speech B) Crying C) Defensive tone D) Steady voice E) Sweating
A patient who has had hip surgery is at very high risk of
A. heel ulcers. B. nausea. C. constipation. D. depression.