The nurse is preparing to start an IV in the hand of a client who has

The nurse is preparing to start an IV in the hand of a client who has very small veins. Which actions would be useful in dilating the veins?

1. Position the hand at heart level.
2. Stroke the vein.
3. Have the client clench and unclench the fist.
4. Slap the back of the client’s hand.
5. Massage the vein.

ANSWER

Correct Answer: 2, 3, 5
Rationale 1: The hand should be lower than the heart to dilate the vein.
Rationale 2: Stroking the vein helps to dilate the vein.
Rationale 3: Having the client clench and unclench the fist is a strategy used to help dilate a vein.
Rationale 4: Slapping the vein is contraindicated and may actually reduce venous filling.
Rationale 5: Massaging the vein helps with vein dilation.