The nurse is initiating IV therapy for an adult client who requires IV fluid infusion for 2–3 days and might require blood administration. What should the nurse choose as the best option for IV catheterization?
1. Butterfly
2. Huber needle
3. Angiocatheter
4. Implantable venous access device
3
Rationale 1: A butterfly can be used, if necessary, for IV catheterization, but is best when used for short-term IV infusion, as the needle remains in place within the vein, and is more likely to infiltrate sooner than is an angiocatheter.
Rationale 2: A Huber needle is used to access an implantable venous access device, and would not be used for short-term use of a few days.
Rationale 3: An angiocatheter would be the best choice because the needle is removed and only the catheter remains in place, so it is more likely to last for 2 days without infiltrating.
Rationale 4: Implantable venous access devices are used when IV fluid needs are anticipated for several months.
Global Rationale: An angiocatheter would be the best choice because the needle is removed and only the catheter remains in place, so it is more likely to last for 2 days without infiltrating. A butterfly can be used, if necessary, for IV catheterization, but is best when used for short-term IV infusion, as the needle remains in place within the vein, and is more likely to infiltrate sooner than is an angiocatheter. A Huber needle is used to access an implantable venous access device, and would not be used for short-term use of a few days. Implantable venous access devices are used when IV fluid needs are anticipated for several months.
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