A client with darkly pigmented skin reports that the intravenous site

A client with darkly pigmented skin reports that the intravenous site is “uncomfortable.” To thoroughly assess the complaint of this particular client, the nurse should:

1. Determine when the angiocatheter was inserted
2. Ask the client if the area appears reddened
3. Take an axillary temperature on the same side as the IV site
4. Use the back of the hand to assess skin temperature at the site

ANSWER

ANS: 4
Using the back of the hand to detect warmth helps in the assessment for inflammation when redness is not easily observed. It is the most reliable method among the options provided.