Difficulty: Medium
Average Score: 76%
Simulated
A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D: Apply a warm, moist compress. This action helps improve circulation and alleviate the coolness and edema at the IV site. Warmth dilates blood vessels, enhancing blood flow and reducing swelling. Initiating a new IV (A) may not address the issue and can cause unnecessary discomfort. Slowing the IV rate (B) won't directly address the coolness and edema. Maintaining the extremity below the heart level (C) can worsen edema by promoting fluid accumulation.