The nurse is caring for a client who is to have a peripherally inserted central catheter (PICC) line inserted tomorrow afternoon. The client's peripheral access line is infiltrated, and needs to be restarted. Which site would the nurse avoid using?
1. Median cubital vein
2. Cephalic vein
3. Radial vein
4. Dorsal metacarpal veins
1
Rationale 1: The median cubital vein is often used for PICC lines, so the nurse should attempt to avoid this site in order to maintain it for the central line.
Rationale 2: The cephalic vein is an acceptable choice.
Rationale 3: The radial vein is an acceptable choice.
Rationale 4: The dorsal metacarpal vein is an acceptable choice.
Global Rationale: The median cubital vein is often used for PICC lines, so the nurse should attempt to avoid this site in order to maintain it for the central line. The cephalic, radial, and dorsal metacarpal veins are acceptable choices.
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