Vascular Access Exam Prep

Category - Vascular Access Practice Test

A nurse notes that the site of the client’s intravenous catheter is edematous and cool. Which of the following nursing actions is not appropriate for this client?
  1. Removing the intravenous catheter immediately
  2. Rubbing or massaging the infiltrated area
  3. Elevating the affected extremity
  4. Application of warm or cool compresses over the site
Explanation
Answer: B - An infiltrated site is not rubbed or massaged, as it can cause the development of hematoma. The other options are appropriate.
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