The nurse is preparing to insert an intravenous (IV) catheter in a newly admitted patient. Which area should the nurse use first for this catheter?
a. Hand
b. Forearm
c. Upper arm
d. Antecubital space
ANS: A
A. Hand veins are used first if long-term IV therapy is expected. This allows each successive venipuncture to be made proximal to the site of the previous one, which eliminates the passage of irritating fluids through a previously injured vein and discourages leakage through old puncture sites. B. The forearm can be used if hand veins are not available or if previous catheters were placed into hand veins. C. D. The upper arm and antecubital space are not ideal locations for IV catheter placement.
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