33. A phlebotomist is preparing to perform venipuncture on a patient who had a right-sided mastectomy. Which of the following is the correct site to perform the collection?
Answer: A
Left antecubital
The appropriate site for venipuncture in a patient who has undergone a right-sided mastectomy is the left antecubital area. This is because the right arm is compromised due to surgery, and the left arm is the safer option for venous access.
A) Left antecubital
This option is correct because it avoids the surgical site and potential complications associated with venipuncture on the right side. The left antecubital fossa is typically a suitable location with accessible veins, making it the best choice in this scenario.
B) Right cephalic
This option is incorrect as it involves using the right arm, which has undergone a mastectomy. Performing venipuncture on the right side could lead to complications such as lymphedema or infection, making it an inappropriate choice.
C) Left femoral artery
This option is also incorrect because the femoral artery is not a standard site for venipuncture in routine blood collection. Furthermore, accessing this artery is more invasive and carries higher risks, especially when there are safer alternatives available in the upper extremities.
D) Right basilic
This option is incorrect since it involves accessing the right basilic vein, which is also on the side of the mastectomy. Similar to the right cephalic vein, using this site could pose risks of complications and is not advisable in this context.
Conclusion
The left antecubital area is the only appropriate choice for venipuncture in this situation, as it minimizes the risk of complications associated with the right side that has had a mastectomy. All other options involve accessing the right arm, which is contraindicated, thereby reinforcing the necessity of selecting a viable and safe site for blood collection.