When discontinuing a peripheral IV catheter, the LVN should:

Rationale: A. Massage the site vigorously is incorrect because vigorous massage can damage the vein, increase the risk of hematoma formation, and cause patient discomfort. Gentle handling is important to minimize trauma to the vein and surrounding tissue. B. Apply pressure until bleeding stops is correct. After removing a peripheral IV catheter, direct, firm pressure should be applied to the insertion site for several minutes (typically 2–3 minutes) or until bleeding stops. This helps prevent hematoma formation and ensures proper hemostasis. Once bleeding has stopped, the site should be covered with a sterile adhesive dressing or gauze to protect it from infection and contamination. Applying pressure is particularly important in patients who are on anticoagulants or have bleeding disorders, as they may bleed longer. C. Remove catheter quickly and leave site uncovered is incorrect because leaving the site uncovered increases the risk of infection and does not control bleeding. Additionally, removing the catheter without applying pressure could result in a hematoma, delayed clotting, or continued bleeding, which may be dangerous in certain patients. D. Apply heat immediately is incorrect because heat is not recommended after IV removal. Heat can increase local blood flow, which may worsen bleeding or hematoma formation. Cold compresses may sometimes be used to reduce swelling if a hematoma develops, but routine heat application is not part of standard post-IV care.