When selecting a site to insert an intravenous catheter on an adult, the nurse should (Select all that apply.)
a. Start proximally and move distally on the arm.
b. Choose a vein with minimal curvature.
c. Choose the patient's dominant arm.
d. Check for contraindications to the extremity.
e. Select a vein that is rigid.
f. Avoid areas of flexion.
B, D, F
The nurse should start distally and move proximally, choosing the nondominant arm if possible. The vein should be relatively straight to avoid catheter occlusion. Contraindications to starting an IV catheter are conditions such mastectomy, AV fistula, and central line in the extremity. The nurse should feel for the best location; a good vein should feel spongy, a rigid vein should be avoided because it might have had previous trauma or damage.
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