The nurse notes an edematous area around the insertion site of an IV that is cool to the touch and the skin of which appears blanched. Based on these assessment findings, the nurse's first priority is to:
a. apply warm compresses to the area.
b. notify the charge nurse.
c. stop the infusion.
d. reposition the arm to improve the fluid flow.
C
The infusion should be stopped and restarted in another location. Warm compresses are contraindicated. Repositioning the arm will not remedy the infiltration. The charge nurse can be notified after the fact.
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