A nurse is discontinuing a patient's peripheral IV access. Which actions should the nurse take? (Select all that apply.)
a. Wear sterile gloves and a mask.
b. Stop the infusion before removing the IV catheter.
c. Use scissors to remove the IV site dressing and tape.
d. Apply firm pressure with sterile gauze during removal.
e. Keep the catheter parallel to the skin while removing it.
f. Apply pressure to the site for 2 to 3 minutes after removal.
ANS: B, E, F
The nurse should stop the infusion before removing the IV catheter, so the fluid does not drip on the patient's skin; keep the catheter parallel to the skin while removing it to reduce trauma to the vein; and apply pressure to the site for 2 to 3 minutes after removal to decrease bleeding from the site. Scissors should not be used because they may accidentally cut the catheter or tubing or may injure the patient. During removal of the IV catheter, light pressure, not firm pressure, is indicated to prevent trauma. Clean gloves are used for discontinuing a peripheral IV access because gloved hands will handle the external dressing, tubing, and tape, which are not sterile.
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