The nurse is having difficulty accessing a client's vein to ...

[cnetterville]

The nurse is having difficulty accessing a client's vein to insert an intravenous catheter. Which of the following interventions can be used to assist in this process? (Select all that apply.)
 
  1. Use a tourniquet.
  2. Dangle the arm off the side of the bed.
  3. Apply a warm towel.
  4. Have the client pump the fist.
  5. Apply a heating pad.
  6. Warm the catheter in the microwave.

Question 2

Which of the following self-examination techniques is a health maintenance behavior for the nurse to instruct a client? (Select all that apply.)
 
  1. Breast self-examination
  2. Capillary blood glucose testing
  3. Testicular self-examination
  4. Skin examination
  5. Application of hydrocortisone cream for a skin disorder
  6. Elevating edematous lower extremities

[javimendoza7]

Answer to Question 1

1, 2, 3, 5
To promote venous distention, the nurse can use a tourniquet, dangle the arm off the side of the bed, apply a warm towel, and apply a heating pad. Having the client pump the fist will increase vasospasm. The catheter should not be warmed in the microwave since this could adversely affect the functioning.

Answer to Question 2

1, 3, 4
Physical self-examination is a health maintenance behavior that does not require any special equipment but requires proper instruction on the correct procedure. Examples of self-examinations that a nurse can instruct a client include breast self-examination, testicular self-examination, and skin examination. Capillary blood glucose testing needs the use of a glucometer. Application of hydrocortisone cream is a medication used for a diagnosed skin disorder. Elevating edematous lower extremities is an intervention for a peripheral vascular or cardiac disorder.

[cnetterville]

Thank you

[javimendoza7]

Happy to help you