The nurse is preparing to give a medication by IV bolus. When assessing the patient's IV insertion site, the nurse notes that it is warm, reddened, and tender. What action should the nurse take first?
a. Slow the infusion rate and slowly inject the medication.
b. Discontinue the IV infusion.
c. Inject a local anesthetic to relieve the tenderness.
d. Apply warm compresses over the insertion site.
B
Swelling, warmth, redness, and tenderness indicate infiltration or phlebitis. Stop the IV infusion, remove the IV catheter, treat the IV site as indicated by institutional policy, and insert a new IV catheter if therapy continues.
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