A red, swollen IV insertion site suggests which complication, and what is the appropriate nursing action?

• A. Ignore and continue IV
• B. Phlebitis; discontinue the IV, start a new IV in a different site, apply warm compress, and document.
• C. Apply cold compress and document
• D. Continue IV and monitor

Answer: (B)

Redness and swelling at an IV site indicate phlebitis, an irritation or inflammation of the vein from the catheter and/or infused meds. The appropriate action is to stop the IR therapy at that site and remove the catheter to prevent further inflammation or potential complication. A new IV should be started in a different site if ongoing IV access is needed. Applying a warm compress to the affected area helps increase circulation, soothe discomfort, and promote healing. Document what you observed, the actions taken, and the new IV site, and continue to monitor for signs of infection or progression such as fever, spreading redness, or drainage. Cold compress is not appropriate here because warmth is preferred to relieve phlebitis, and ignoring the site or continuing the IV would risk further inflammation.