{"id":138741,"date":"2024-09-16T07:48:19","date_gmt":"2024-09-16T07:48:19","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=138741"},"modified":"2024-09-16T07:48:21","modified_gmt":"2024-09-16T07:48:21","slug":"a-nurse-is-inserting-a-short-peripheral-iv-catheter-for-a-client-who-requires-iv-fluids","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/16\/a-nurse-is-inserting-a-short-peripheral-iv-catheter-for-a-client-who-requires-iv-fluids\/","title":{"rendered":"A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids"},"content":{"rendered":"\n

A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids.
Which of the following actions should the nurse take?
A.
Initiate IV access on the palmar side of the client’s wrist.<\/p>\n\n\n\n

B.
Insert a larger gauge IV catheter to prevent phlebitis.<\/p>\n\n\n\n

C.
Choose the client’s dominant arm for IV access whenever possible.<\/p>\n\n\n\n

D.
Select a site proximal to previous venipuncture sites.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct answer is D. Select a site proximal to previous venipuncture sites<\/strong>.<\/p>\n\n\n\n

When inserting a short peripheral IV catheter, selecting a site proximal to previous venipuncture sites is generally recommended. This approach helps avoid potential complications and maximizes the chances of successful IV insertion. Here\u2019s why:<\/p>\n\n\n\n

    \n
  1. Minimizing Trauma<\/strong>: Choosing a site proximal (closer to the torso) to previous venipunctures minimizes trauma to the vein. If the same vein has been used multiple times, it might be less suitable for further access due to scarring, inflammation, or thrombosis. By selecting a site further up the arm (proximal), you avoid re-traumatizing the same vein.<\/li>\n\n\n\n
  2. Improving Vein Condition<\/strong>: Proximal sites are often in better condition compared to distal sites that may have been previously accessed. Using veins that haven\u2019t been previously accessed reduces the risk of complications such as phlebitis or infiltration.<\/li>\n\n\n\n
  3. Preserving Veins for Future Use<\/strong>: Preserving the condition of veins is crucial for patients who might need multiple IV insertions or infusions. By selecting a new site proximal to old ones, you help ensure that veins further down the arm remain available and viable for future use.<\/li>\n<\/ol>\n\n\n\n

    Now let\u2019s briefly review why the other options are less appropriate:<\/p>\n\n\n\n

      \n
    • A. Initiate IV access on the palmar side of the client’s wrist<\/strong>: This area is not ideal for IV access. The palmar side of the wrist is prone to complications and might not offer the most stable or visible veins for IV insertion.<\/li>\n\n\n\n
    • B. Insert a larger gauge IV catheter to prevent phlebitis<\/strong>: While a larger gauge catheter might be necessary for certain types of infusions, it\u2019s not a general rule for preventing phlebitis. Phlebitis can be influenced by many factors, including catheter size, insertion technique, and the type of fluid being infused.<\/li>\n\n\n\n
    • C. Choose the client’s dominant arm for IV access whenever possible<\/strong>: Choosing the dominant arm is not always ideal, as it might lead to discomfort or interfere with the patient\u2019s daily activities. Additionally, the dominant arm may be more active, increasing the risk of dislodgement or complications.<\/li>\n<\/ul>\n\n\n\n

      In summary, selecting a site proximal to previous venipuncture sites is a best practice in peripheral IV catheter insertion to ensure vein health, reduce trauma, and preserve future access points.<\/p>\n","protected":false},"excerpt":{"rendered":"

      A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids.Which of the following actions should the nurse take?A.Initiate IV access on the palmar side of the client’s wrist. B.Insert a larger gauge IV catheter to prevent phlebitis. C.Choose the client’s dominant arm for IV access whenever possible. D.Select a […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138741","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138741","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138741"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138741\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138741"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}