When a nurse is selecting a vein for IV placement, what is the most appropriate action?
a. Select a vein that appears to be well di-lated.
b. Elevate the extremity to visualize the vein.
c. Tap and rub the vein vigorously with fric-tion.
d. Stroke from proximal to distal above the site.
A
Use the most distal site in the nondominant arm, if possible. Select a well-dilated vein. Methods to foster venous distention include place the extremity in a dependent position if possible and stroke from distal to proximal below the proposed venipuncture site. Apply warmth to the ex-tremity for several minutes, for example, with a warm washcloth. Vigorous friction and multiple tapping of a vein, especially in older adults, can cause hematoma and/or venous constriction. Avoid vein selection in areas with tenderness, pain, infection, or wounds, or extremities affected by previous stroke (CVA), paralysis, mastectomy, or dialysis graft. Choose a site that will not interfere with the patient's activities of daily living (ADLs).
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