Difficulty: Medium
Average Score: 95%
Simulated
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes edema of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
Correct answer
D
Rationale
Stopping the infusion and measuring arm circumference is the first step to assess for complications like infiltration or thrombosis, which could cause edema, before taking further action.