The nurse is having difficulty accessing a client's vein to insert an intravenous catheter. Which of the following interventions can be used to assist in this process? (Select all that apply.)
1. Use a tourniquet.
2. Dangle the arm off the side of the bed.
3. Apply a warm towel.
4. Have the client pump the fist.
5. Apply a heating pad.
6. Warm the catheter in the microwave.
1, 2, 3, 5
To promote venous distention, the nurse can use a tourniquet, dangle the arm off the side of the bed, apply a warm towel, and apply a heating pad. Having the client pump the fist will increase vasospasm. The catheter should not be warmed in the microwave since this could adversely affect the functioning.
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