A patient is diagnosed with cancer and requires 6 months of ...

[Yolanda]

A patient is diagnosed with cancer and requires 6 months of chemotherapy infusions. Which type of intravenous (IV) access device will likely be used?
 
  a. Peripheral venous access device
  b. Midline catheter
  c. Winged needle venous access device
  d. Implantable venous infusion port

Question 2

The nurse administers B12 IM to a patient in a long-term care facility. After administering this medication, the nurse will (Select all that apply.)
 
  a. carefully recap the needle.
  b. identify the patient.
  c. massage site of injection.
  d. dispose of the used needle according to policy.
  e. apply a small bandage to the site.

[jesse.fleming]

Answer to Question 1

ANS: D
Implantable venous infusion ports are placed into central veins for long term therapy. Chemotherapy treatment is often irritating and best tolerated in the larger central veins. Peripheral lines are not used for administration of chemotherapy because of the risk of extravasation. A midline catheter is intended only for a 2 to 4 week interval, less than the projected length of time for chemotherapy infusion. Winged needles are for use in peripheral veins that are too small for ongoing infusion of chemotherapy.

Answer to Question 2

ANS: D, E
After administering an IM injection, the nurse should dispose of used needles according to policy and apply a small bandage to the site. Needles should never be recapped following use. The patient requires identification before the injection is given. After the needle is removed, gentle pressure should be applied to the site. Massage can increase the pain if the muscle mass is stressed by the amount of medication given.

[Yolanda]

Excellent

[abro1885]

TYSM