The Nurse Observes That the Insertion Site of an IV

question 27

Multiple Choice

The nurse observes that the insertion site of an IV catheter looks pale and puffy and the area feels cool to the touch. The initial action for the nurse should be to:

• A) discontinue the infusion and start a new IV site.
• B) apply warm compresses to the site.
• C) monitor the patient's temperature every 4 hours.
• D) call the primary care provider and report these findings.

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