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    Ati Rn pharmacology proctored exam 2023

    A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. In which of the following locations should the nurse place the catheter?

    Explanation & Rationale

    A. A vein that feels hard to the touch: A hard vein may indicate sclerosis, thrombosis, or inflammation, making it unsuitable for catheter insertion. Using such a vein increases the risk of infiltration, pain, and unsuccessful insertion. B. A vein in the client's dominant arm: While not absolutely contraindicated, avoiding the dominant arm when possible helps preserve function and comfort for the client, especially if complications occur. C. A vein on the client's wrist: Veins on the wrist are generally smaller and more superficial, which can increase the risk of infiltration or discomfort. They are usually considered a last-resort option. D. A vein proximal to the previous site: Selecting a vein proximal (closer to the body) to the previous insertion site allows for the use of healthy tissue, reduces the risk of complications at the prior site, and provides adequate venous access for the new catheter.

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