Question

Which of the following sites should be avoided for IV insertion? (Select all that apply.)

A. Dorsal surface of the hand of a middle-aged adult
B. Inner arm
C. Foot of an adult
D. Site distal to a previous venipuncture site
E. Inner wrist
F. Areas of venous bifurcation
G. Foot of a child

Answer 1

IV insertion sites that should be avoided include the foot of an adult, a site distal to a previous venipuncture, areas of venous bifurcation, and the foot of a child. The median cubital and basilic veins are better alternatives for venipuncture.

Step-by-step explanation:

The sites to be avoided for IV insertion include:

• Foot of an adult: The veins in the feet may not be as robust and are more prone to complications.
• Site distal to a previous venipuncture site: This area may be compromised, leading to an increased risk of phlebitis or infection.
• Areas of venous bifurcation: At these sites, there is a higher risk of causing damage to the veins.
• The foot of a child: Similar to adults, the foot is not an ideal location due to the risk of complications and should be avoided especially in children due to their smaller veins and increased mobility.

Other possible areas for venipuncture include the median cubital vein, which is a common site for drawing venous blood, and the basilic vein in the arm. Health providers should consider patient comfort, the condition of the veins, and the purpose of the catheter when choosing an IV insertion site to reduce the risk of catheter-related bloodstream infections.