A patient who is receiving a final dose of intravenous (IV) cephalosporin begins to complain of pain and irritation at the infusion site. The nurse observes signs of redness at the IV insertion site and along the vein. The nurse's priority action is to
a. apply warm packs to the arm and infuse the medication at a slower rate.
b. continue the infusion while elevating the arm.
c. select an alternate intravenous site and administer the infusion more slowly.
d. request central venous access.
ANS: C
The nurse should select an alternative IV site and administer the infusion more slowly.
The IV should not be continued in the same site, because necrosis may occur.
A central line would be indicated only for long-term administration of antibiotics.
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