The nurse is preparing to discontinue a client’s intravenous infusion.

The nurse is preparing to discontinue a client’s intravenous infusion. Which actions should the nurse take when removing the catheter from the vein?

1. Pull the catheter out in line with the vein
2. Apply pressure to the site while removing the catheter.
3. Pull the catheter out at an angle perpendicular to the vein.
4. Bend the client’s elbow if bleeding at the site persists after removal.
5. Apply pressure to the site after the catheter is removed for 2 to 3 minutes.

ANSWER

Correct Answer: 1, 5

Rationale 1: When removing an intravenous catheter, the nurse should pull the catheter out in line with the vein. This avoids injury to the vein.

Rationale 2: Pressure should not be applied to the site while removing the catheter.

Rationale 3: When removing an intravenous catheter, the nurse should pull the catheter out in line with the vein. An angle perpendicular to the vein will injure the vein.

Rationale 4: Hold the client’s arm above heart level, not bending at the elbow, if any bleeding persists. Raising the limb decreases blood flow to the area.

Rationale 5: After removing the catheter, immediately apply firm pressure to the site, using sterile gauze, for 2 to 3 minutes. Pressure helps stop the bleeding and prevents hematoma formation.