The nurse should first address the client’s

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followed by the client’s

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.

Choice A rationale

While larger gauge catheters (e.g., 18-gauge) are used for rapid infusion, they also cause more trauma to the vein's intimal layer during insertion. This trauma can trigger a localized inflammatory response, increasing the risk of phlebitis, which is inflammation of the vein. Smaller gauge catheters (e.g., 22-24 gauge) cause less trauma and are preferred for routine fluid administration to prevent this complication.

Choice B rationale

The non-dominant arm is the preferred site for IV access whenever possible. Using the non-dominant arm allows the client to maintain more normal function and independence with daily activities, as they can still use their dominant hand without the restriction of the IV line. This also minimizes the risk of accidental dislodgement or trauma to the site.

Choice C rationale

Selecting a site proximal to previous venipuncture sites is the recommended practice. When a vein is punctured, it can cause localized inflammation and scar tissue formation distal to the site. Starting proximal allows for the use of a healthier segment of the vein, which improves the likelihood of successful insertion and reduces the risk of extravasation or phlebitis.

Choice D rationale

The palmar side of the client's wrist should be avoided for IV insertion. This area contains a high concentration of nerves and tendons, including the median nerve and radial artery. Inserting a catheter here increases the risk of nerve damage, which can lead to permanent numbness, tingling, or pain, and also increases the risk of arterial puncture. *.

Choice A rationale

This statement is dismissive of the client's concern and incorrectly implies that medication is a required part of rest and recovery. The client has the right to refuse medication, and this statement does not address their fears about being forced to take drugs. Providing false reassurance or being dismissive can damage the therapeutic nurse-client relationship and increase the client's anxiety.

Choice B rationale

This is an inappropriate response as it places the burden of explanation on the client and can be perceived as an accusatory question. Therapeutic communication requires the nurse to validate the client's feelings and provide accurate information, not to question their rationale.

The nurse should address the client's fear directly and reassure them about their rights.

Choice C rationale

This statement is correct because it upholds the client's rights. Under involuntary admission, a client retains the right to refuse psychotropic medication unless a court order has been obtained or there is an emergency situation where the client is a danger to themselves or others. The nurse's statement respects the client's autonomy and provides accurate information about their legal rights.

Choice D rationale

This statement is legally and ethically incorrect. Even with an involuntary admission, a client retains their fundamental rights, including the right to refuse treatment. Forcing a client to accept treatment against their will is a violation of their autonomy and can only be done in specific, legally defined circumstances, such as an emergency or through a court order. This response is coercive and non-therapeutic. *.