The nurse prepares to relocate an intravenous catheter because of signs of infiltration. The IV was located in the patient's nondominant hand
Which criterion would be best for the nurse to use when deciding on the location of the new intravenous (IV) site? a. Use a site distal to the original site.
b. Place it wherever a vein is suitable.
c. Place the new site at a venous bifurcation.
d. Continue to use the nondominant extrem-ity.
B
Since an IV site has infiltrated, it is no longer appropriate to use, even though it is on the nondo-minant extremity. The nurse must now find a site where the vein is of adequate size, location, and pliability and place the IV catheter there. The most distal site is suitable for an original IV site, but it should not be used if an IV line is being reinserted in the same extremity because of possible infusion difficulty, especially when infiltration is present. The nurse avoids inserting the IV catheter at a bifurcation because he or she exposes two vessels to the risks of IV therapy. Al-though it is ideal to use the patient's nondominant hand, it may not be possible if the prior IV infusion has infiltrated. Injury and pain to the patient could occur.
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