Which vein is most appropriate for a nurse to select when inserting an IV catheter in an older adult client?

The median vein in the forearm is considered the most appropriate choice for IV catheter insertion in an older adult client due to several factors. Older adults often present challenges such as fragile veins, decreased skin elasticity, and a higher likelihood of venous collapse, making it essential to select a site that offers both accessibility and stability. The median vein, located centrally in the forearm, tends to be larger and more durable than some of the more superficial veins, providing a better option for securing IV access.

In addition, the median vein usually has a more straightforward anatomical position, making it easier to cannulate. It minimizes the risk of complications, such as infiltration or phlebitis, which can occur with the use of veins that are smaller or located in areas that are subject to frequent movement or pressure.

Conversely, veins such as the cephalic vein in the hand, while often used, may be more prone to issues in older adults due to their smaller size and more superficial placement, leading to a higher risk of complications. The basilic vein in the antecubital area, though large, is closer to important structures such as nerves and arteries, making its cannulation more hazardous. "Additional veins in the arm" lacks specificity and does not