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    Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph

    A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take?

    Explanation & Rationale

    A. A 22-gauge catheter is appropriate for older adults because their veins are often fragile and small. It allows for adequate fluid administration while minimizing trauma to the vessel. B. Tourniquets should be applied lightly in older adults to avoid vein rupture or hematoma formation. C. The nurse should clean the site with gentle friction using antiseptic (e.g., chlorhexidine) in a circular motion from center outward; vigorous scrubbing may injure delicate skin. D. Veins on the back of the hand are more likely to rupture in older adults. The nurse should choose veins in the forearm to preserve integrity and reduce complications.

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