1.ID: 383695688

A nurse notesthat the site of a client’s peripheral intravenous(IV) catheter is reddened, warm, painful,

and slightly edematous near the insertion point of the catheter. On the basis of this assessment, the

nurse first:

Removesthe IV catheter Correct

Slows the rate of infusion

Notifiesthe healthcare provider

Checksfor loose catheter connections

Rationale: Phlebitis is an inflammatory process in the vein. Phlebitis at an IV site may be indicated by

client discomfort at the site or by redness, warmth, and swelling in the area of the catheter. The IV

catheter should be removed and a new IV line inserted at a different site. Slowing the rate of infusion

and checking for loose catheter connections are not correct responses. The healthcare provider would

be notified if phlebitis were to occur, but this is not the initial action.

Test-Taking Strategy: Use the process of elimination, focusing on the data in the question. Eliminate

slowing the rate of infusion and checking the connection, because they are comparable or alike in that

they indicate continuation of IV therapy. Although the healthcare provider would be notified of this

occurrence, the word “first” should direct you to select the option of removing the IV catheter. Review

the signs of phlebitis and the actions to be taken when it occurs if you had difficulty with this question.

Level of Cognitive Ability: Applying

Client Needs: Physiological Integrity