Which does the nurse implement to prepare for IV insertion?
1. Slaps and massages selected vein
2. Selects proximal site on extremity
3. Shaves the hair in the insertion site
4. Ties tourniquet above selected site
4
4. The nurse applies a tourniquet to the client's arm to engorge the vein selected for IV insertion to facilitate catheter insertion because a larger vein is easier to enter, without transecting the vein, than a small vessel.
1. The nurse avoids tapping and massaging the vein before IV insertion because these increase the risks of hematoma formation and vasoconstriction.
2. The nurse selects the most distal sit on the extremity suitable for IV therapy.
3. The nurse clips hair around the potential IV insertion site because shaving increases the risks of impaired skin integrity and infection from microabrasions.
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