Which technique alteration should the nurse make when initiating a venous access device in an older adult with large, tortuous veins?
A. Keep the extremity above the level of the heart.
B. Use extra tape to keep the veins from rolling.
C. Start the IV in the nondominant hand.
D. Avoid the use of a tourniquet.
D
A tourniquet can bruise the client and tear thin skin. In addition, it may rupture tortuous vessels. The best technique is to have the client's extremity remain in a dependent position long enough to fill the veins sufficiently for venipuncture.
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Indicate whether the statement is true or false