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    W4 nur 226 adult health proctored exam ( med surg) exemplify
    Select All That Apply

    The nurse prepares to insert an intravenous line in a client. What assessment(s) should the nurse perform to ensure the IV is placed in an appropriate location? Select all that apply.

    Explanation & Rationale

    Choice A reason: Assessing the quality of potential veins is essential to select a vein that is visible, palpable, and suitable for cannulation. Vein size, location, and integrity directly impact IV success and minimize complications such as infiltration or phlebitis. Choice B reason: Reviewing blood glucose results is unrelated to determining IV placement. Glucose levels do not affect vein selection or safety for peripheral IV insertion. Choice C reason: Measuring arm circumference is not a standard assessment for IV placement. It does not provide information on vein suitability and is unnecessary for routine IV insertion. Choice D reason: Checking for a history of mastectomy is crucial because venous access on the affected side is contraindicated due to risk of lymphedema and impaired lymphatic drainage. Avoiding this side is essential for client safety. Choice E reason: Assessing hand dominance and using the non-dominant side promotes client comfort and preserves functionality of the dominant arm for daily activities. This consideration helps reduce inconvenience and potential injury to the client.

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