Physiological IntegrityPregunta 77 de 120
The LPN/LVN is caring for a client with a peripheral IV. The site is red, warm, and tender. What is the priority action?
a.Stop the infusion and remove the IV catheter
b.Increase the infusion rate to flush the vein
c.Apply a warm compress and continue the infusion
d.Document and reassess at the end of the shift
Explicación
Redness, warmth, and tenderness indicate phlebitis; the infusion should be stopped and the catheter removed to prevent complications. Increasing the rate or continuing infusion worsens the problem. The site is then restarted elsewhere as needed.
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