After removing an IV catheter from a patient on anticoagulants, what is the most appropriate nursing intervention?

• A. Apply pressure to the IV site for 5 minutes
• B. Leave the IV in place and attach a saline lock for 24 hours
• C. Elevate the extremity for 10 minutes
• D. Use a warm compress at the site for several minutes

Answer: (A)

When removing an IV catheter, the first priority is stopping any bleeding at the puncture site, and this is even more crucial for someone on anticoagulants. The best action is to apply direct pressure to the site with sterile gauze for about 5 minutes to compress the vessel and promote hemostasis. If bleeding continues, maintain pressure and reassess; prolonged oozing may require further evaluation.

After bleeding has stopped, place a dressing over the site and monitor for signs of hematoma or ongoing bleeding. Document and observe as needed.

Why the other ideas aren’t suitable: leaving the IV line in place and attaching a saline lock after removal doesn’t address the need to stop bleeding at the puncture site. Elevating the extremity isn’t the primary intervention to control bleeding, and applying a warm compress could increase blood flow and worsen bleeding, making it inappropriate right after removal.