Question

A nurse is inserting a peripheral IV catheter for an older adult. What actions should the nurse take?

Options:
A) Insert the catheter quickly to minimize discomfort
B) Use a smaller gauge catheter for better flow
C) Apply a warm compress to dilate veins
D) Avoid using a tourniquet to prevent bruising

Answer 1

For inserting a peripheral IV catheter in an older adult, use a smaller gauge catheter for better flow and apply a warm compress to dilate the veins. Additional precautions include careful application of a tourniquet to prevent bruising, maintaining aseptic technique, and monitoring for infection.

Step-by-step explanation:

When a nurse is inserting a peripheral IV catheter for an older adult, several actions should be taken to ensure patient safety and comfort. Among the provided options, the correct actions the nurse should take are:

1. Use a smaller gauge catheter for better flow, as it causes less damage to the vein and is less painful, especially in older adults whose veins may be more fragile.
2. Apply a warm compress to dilate veins, which makes it easier to insert the catheter by increasing the size of the veins.

Additional measures, not listed among the options but important for the procedure, include:

1. Using a tourniquet to help make the veins more visible, but it should be applied carefully to prevent bruising on the fragile skin of older adults.
2. Maintaining aseptic technique to prevent infections.
3. Assessing the patient for signs of infection or complications post insertion.

It is important not to insert the catheter too quickly, as rushing the procedure can increase the risk of complications.