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    Ati Lpn Med Surg IV Therapy Proctored Exam

    When discontinuing a peripheral IV catheter, the LVN should:

    Explanation & Rationale

    Rationale: A. Removing the catheter quickly and leaving the site uncovered is unsafe. Rapid removal without pressure can cause bleeding or hematoma formation, and leaving the site exposed increases the risk of infection. B. Massaging the site vigorously is contraindicated. Aggressive massage can cause bruising, tissue damage, or dislodge a clot, leading to hematoma or further complications. C. Applying pressure until bleeding stops is correct. After removing the catheter, gentle but firm pressure over the site prevents bleeding and hematoma formation. Once hemostasis is achieved, the site should be covered with a sterile dressing to protect against infection and promote healing. This is the standard recommended procedure for safe IV discontinuation. D. Applying heat immediately is inappropriate. Heat is generally used for infiltration or phlebitis, not for controlling bleeding. Applying heat immediately after catheter removal can increase bleeding or swelling.

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