A nurse flushing a capped, peripheral venous access device finds that the IV does not flush easily. What is the appropriate intervention in this situation?
A) If infiltration or phlebitis is present, apply a sterile dressing to the site.
B) Aspirate and attempt to flush the line again.
C) If resistance remains after aspirating and flushing, forcefully flush the line.
D) If catheter has pulled out a short distance, push back in and flush line again.
Ans: B
If the IV does not flush easily, assess the insertion site. Infiltration and/or phlebitis may be present. If present, remove and restart in another location. In addition, the catheter may be blocked or clotted due to a kinked catheter at the insertion site. Aspirate and attempt to flush again. If resistance remains, do not force. Forceful flushing can dislodge a clot at the end of the catheter. Remove and restart in another location. If assessment reveals the catheter has pulled out a short distance, do not reinsert it; it is no longer sterile. Remove and restart in another location.
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