A peripheral IV catheter does not flush easily and the pump indicates high pressure. Which action is appropriate?
Correct answer: C. Stop the infusion and assess the catheter site
- A. Force a saline flush through the catheter
- B. Lower the fluid bag and increase the pressure
- C. Stop the infusion and assess the catheter site
- D. Remove the dressing and massage the vein
Explanation
Resistance may indicate a kink, closed clamp, malposition, or an occluded catheter, so the infusion is stopped and the site and tubing are assessed. The nurse must not force the flush because this can damage the vein or dislodge a clot.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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