When selecting a site to insert an intravenous catheter on an ...

[xclash]

When selecting a site to insert an intravenous catheter on an adult, the nurse should (Select all that apply.)
 
  a. Start proximally and move distally on the arm.
  b. Choose a vein with minimal curvature.
  c. Choose the patient's dominant arm.
  d. Check for contraindications to the extremity.
  e. Select a vein that is rigid.
  f. Avoid areas of flexion.

Question 2

A nurse is working with a patient to try to clarify the patient's values in relation to his care. Which of the following is an example of the type of response that the nurse should use in such a situation?
 
  a. Your questions were pretty blunt.
  b. Tell me what you are thinking about.
  c. I've felt that way before; I'd be upset, too.
  d. You seem concerned about your tests. Let me explain them.

[kjohnson]

Answer to Question 1

B, D, F
The nurse should start distally and move proximally, choosing the nondominant arm if possible. The vein should be relatively straight to avoid catheter occlusion. Contraindications to starting an IV catheter are conditions such mastectomy, AV fistula, and central line in the extremity. The nurse should feel for the best location; a good vein should feel spongy, a rigid vein should be avoided because it might have had previous trauma or damage.

Answer to Question 2

B

Feedback
A Values clarification is a process of self-discovery, and the nurse can assist the patient through it. The character of the nurse's response to a patient can motivate the patient to examine personal thoughts and actions. When the nurse makes a clarifying response, it should be brief and nonjudgemental. This response is a judgemental one.
B Values clarification is the process of appraising one's own personal values. It involves self-reflection that leads to greater self-awareness and personal insight.
C The nurse should not influence the patient with his or her own values, even if these values are similar to the patient's.
D The statement You seem concerned about your tests. Let me explain them is therapeutic in that it reflects the patient's feelings and offers information. However, it does not encourage the patient to examine his or her values.

[xclash]

Thank you!

[kjohnson]

Always glad to help...