The nurse assessing the IV insertion site finds the vein hard, the skin red and tender, and a blood return in the IV line. The most effective intervention after removing the IV catheter is to:
a. notify the charge nurse.
b. elevate the arm above the level of the heart.
c. clean the site with alcohol and apply cool compresses.
d. apply a warm moist pack.
D
These are signs and symptoms of phlebitis and should be treated with a warm moist pack to in-crease blood flow to the area. Notifying the charge nurse is not the most effective intervention and may not be necessary according to facility policy, elevation of the arm would be helpful for swelling, and a cool compress would be indicated for other issues related to IV infusion problems such as extravasation.
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