The client's intravenous (IV) site is tender with erythema, warmth, and mild edema. Which action will the nurse take?

• A. Irrigate the IV tubing.
• B. Change the IV site.
• C. Slow the rate of the infusion.
• D. Obtain a prescription for an analgesic

Answer: (B)

When an IV site is tender with erythema, warmth, and mild edema, it signals vein irritation or early phlebitis. The priority is to stop using that vein and start a new IV at a different site to prevent progression of inflammation and possible infection. So the correct action is to change the IV site, remove the cannula from the irritated vein, and place a new IV elsewhere after assessing skin integrity and ensuring aseptic technique. Irrigating the tubing doesn’t address the vein inflammation and could introduce contaminants. Slowing the infusion rate won’t resolve the local inflammatory process, and scheduling an analgesic prescription doesn’t treat the underlying issue. After relocating the IV, monitor the new site and document findings, and apply appropriate care (such as a warm compress if phlebitis is suspected) as per protocol.