The nurse is performing venipuncture to initiate IV therapy. The venipuncture site is chosen based on which indicators? Select all that apply
1. Using the client's dominant arm, whenever possible
2. Choosing a relatively straight vein
3. Avoiding sclerotic veins
4. Looking for a site sufficiently distal to joints
5. Choosing a vein that is visible in addition to palpable
Correct Answer: 2,3,4
The nurse should choose a vein that is straight and not sclerotic. Sclerotic veins make it difficult to obtain and maintain IV therapy. Straight veins provide space for the catheter to be inserted easily. The site should be sufficiently distal to the wrist or elbow joint to avoid bending or kinking of the IV catheter. It is best, when possible, to use the client's nondominant arm, because movement might be somewhat limited, so the client should be allowed to use the dominant arm. Some clients, especially dark-skinned people, might not have easily visible veins, so the veins should be palpable even if not visible.
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