Which nursing intervention should the nurse use to determine that the IV fluid is infusing into the vein properly?
1. Open roller clamp and watch fluid infuse for 5 minutes.
2. Lower IV bag to the floor and observe for blood return.
3. Disconnect IV tubing at the hub and watch for blood leakage.
4. Observe if infusion ceases when the vein is gently compressed.
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4. The nurse occludes the affected vein gently just beyond the IV catheter length to evaluate whether the IV catheter is in the vessel's lumen. If the catheter is properly positioned, the nurse observes that the drops in the drip chamber cease when the vein is compressed.
1. Allowing the IV fluid to infuse very rapidly potentially verifies that the IV catheter is in the vein if the insertion remains flat during the infusion and the fluid flows freely; however, the nurse avoids this method because it increases the risk of phlebitis and fluid overload.
2. The nurse avoids lowering the IV fluid to the floor to avoid the risk of contamina-tion.
3. The nurse avoids detaching the IV tubing at the hub to avoid inadvertent blood loss and to maintain client satisfaction.
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