What is the expected nursing intervention when a client shows signs of IV site infection?

What is the expected nursing intervention when a client shows signs of IV site infection?

• A. Create a sterile dressing over the site
• B. Remove the IV catheter
• C. Notify the health care provider immediately
• D. Initiate antibiotic therapy

Answer: (B)

When a client demonstrates signs of an IV site infection, the most appropriate nursing intervention is to remove the IV catheter. This action is crucial because leaving the catheter in place could allow the infection to worsen or spread, posing additional risks to the patient's health. Removing the catheter helps to eliminate the potential source of infection, enabling the care team to reassess the need for IV therapy and consider alternate sites or methods for medication administration if necessary. While creating a sterile dressing over the site might seem logical to protect the area, it would not address the underlying issue of the infection. Similarly, notifying the healthcare provider is essential but typically follows the initial step of removing the catheter. Initiating antibiotic therapy is applicable if an infection is confirmed; however, identifying and managing the source of the infection by removing the catheter typically takes precedence. Thus, removing the IV catheter ensures immediate action to safeguard the patient's health.

When a client demonstrates signs of an IV site infection, the most appropriate nursing intervention is to remove the IV catheter. This action is crucial because leaving the catheter in place could allow the infection to worsen or spread, posing additional risks to the patient's health. Removing the catheter helps to eliminate the potential source of infection, enabling the care team to reassess the need for IV therapy and consider alternate sites or methods for medication administration if necessary.

While creating a sterile dressing over the site might seem logical to protect the area, it would not address the underlying issue of the infection. Similarly, notifying the healthcare provider is essential but typically follows the initial step of removing the catheter. Initiating antibiotic therapy is applicable if an infection is confirmed; however, identifying and managing the source of the infection by removing the catheter typically takes precedence. Thus, removing the IV catheter ensures immediate action to safeguard the patient's health.