The nurse observes bleeding on the dressing of a site where the IV was discontinued. Which action should the nurse take first?
a. Hold pressure on the site.
b. Replace the dressing.
c. Apply a warm compress.
d. Lower the site below the level of the heart.
A
The nurse needs to hold pressure on the site since it is continuing to bleed after the IV was dis-continued. Replacing the dressing will not address the cause. A warm compress causes vasodi-lation to increase localized blood flow. Lowering the site will increase the bleeding.
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