A client has an intravenous catheter for medication administration. The nurse learned to assess for a blood return and then provide the medication. Which of the following interventions should be done if the blood return is absent?
1. Assess for the placement of the catheter before providing the medication, and change the catheter if necessary.
2. Provide the medication.
3. Hold the medication for the next oncoming nurse to provide.
4. Document that the client refused the medication.
Assess for the placement of the catheter before providing the medication, and change the catheter if necessary.
Rationale: The standard intervention would be for the nurse to assess for a blood return and then provide the medication; however, according to the client's clinical picture, the catheter is not functioning. The nurse should assess for the catheter's placement and change the catheter if necessary before providing the medication. The nurse should not ignore the client's clinical picture and provide the medication. The nurse should also not hold the medication and ask the next nurse to provide. The client did not refuse the medication and should not be documented as such.
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