The patient calls the nurse to the room to report pain at the site of an IV. The nurse notes warmth, redness, and purulent drainage. Which action does the nurse take first?

Obtain a full set of vital signs. The site is likely infected. The nurse assesses for signs of systemic infection by obtaining a full set of vital signs. Once these are obtained, the nurse contacts the provider for further instruction, which may include culture of the drainage, removing the IV catheter, and drawing labs to assess for systemic infection. Application of warmth is not the appropriate initial action.

The patient calls the nurse to the room to report pain at the sit...

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Pharmacological and Parenteral Therapies
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Category: Pharmacological and Parenteral Therapies
Difficulty: 6

Topics: Communication & Documentation Disease Prevention Routes of Administration Infection Inflammation Tissue Integrity

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