A nurse is caring for a client who is receiving a continuous IV through a peripheral intravenous device. The nurse notes the catheter site is warm and painful to touch. Which of the following actions should the nurse take?
Explanation & Rationale
Rationale: A. Slowing the IV infusion is not sufficient to address the problem. Warmth and pain at the site indicate phlebitis or local inflammation, and continuing the infusion, even at a slower rate, can worsen the condition. B. Applying a warm compress to the IV site is correct. Warmth helps increase blood flow, reduce inflammation, and relieve discomfort associated with phlebitis. The nurse should also assess the site thoroughly, discontinue the IV if necessary, and select a new site for continued therapy. This action promotes healing and prevents further complications such as thrombophlebitis. C. Placing a pressure dressing over the IV site is inappropriate. Pressure dressings are used to control bleeding, not to manage phlebitis. Applying pressure could exacerbate pain and swelling. D. Placing the affected extremity below the level of the heart is contraindicated for phlebitis or infiltration. Elevating the extremity reduces swelling and promotes comfort, whereas lowering it can increase edema and discomfort.