The nurse is preparing to initiate an IV on a 6-year-old with a chronic condition when the child points to a vein in the left arm and says, "This is a good vein that nurses often find easy to hit." The nurse will:
1. Assess the vein indicated and attempt to cannulate it if acceptable.
2. Initiate the IV in the indicated vein.
3. Tell the child the nurse can best choose the proper vein.
4. Thank the child for the information but make an independent choice.
1
Rationale: The nurse must take responsibility for assessing the vein to determine its condition, but if it appears acceptable, the nurse should take the child's advice, because children with chronic conditions often learn to manage their illness with varying degrees of independence, and might be well accustomed with the process of starting an IV.
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A nurse is providing an in-service educational program for beginning nurses regarding mental health assessment needs of the older adult
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