Certified Medical-Surgical Registered Nurse Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

What should a nurse do if a patient's IV site shows signs of infiltration?

Continue the infusion and monitor

Stop the infusion and apply warm compresses to the area

When a patient's IV site shows signs of infiltration, the appropriate action is to stop the infusion and apply warm compresses to the area. Infiltration occurs when the intravenous fluid leaks into the surrounding tissue instead of remaining in the vein, which can lead to swelling, discomfort, and potential damage to nearby tissues.

Stopping the infusion is crucial to prevent further fluid leakage and to assess the extent of the infiltration. By applying warm compresses, the nurse can help alleviate any discomfort the patient may be experiencing and may also facilitate reabsorption of the infiltrated fluid, aiding in the healing process. Monitoring the site after performing these actions is also important to ensure that the condition improves and to watch for any complications.

The other options do not adequately address the problem at hand. Continuing the infusion could exacerbate the infiltration and lead to more significant tissue damage. Changing the IV dressing does not resolve the underlying issue of the infiltration and could mislead the nurse about the actual status of the IV site. Notifying a physician may be necessary if complications arise, but it is not the immediate action required to manage infiltration effectively.

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Change the IV dressing only

Notify a physician immediately

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