Which action needs correction regarding insertion of an intravenous cannula for administration of fluids?

• A. Washing hands with antibacterial soap before insertion of cannula
• B. Using chlorhexidine at the selected site of insertion
• C. Shaving the client's skin immediately around the insertion site
• D. Applying skin protectant solutions at the site of insertion

Answer: (C)

Maintaining a clean, trauma-free insertion site is essential for IV cannulation. The action that needs correction is shaving the skin immediately around the insertion site. Using a razor can create tiny cuts and microtrauma that become entry points for bacteria, increasing the risk of catheter-related infection. If hair must be removed for placement, use sterile clippers to trim the area rather than shaving with a blade.

Washing hands with antibacterial soap before touching the patient is fundamental to prevent introducing organisms. Using chlorhexidine at the insertion site provides effective antisepsis and is preferred for reducing infection risk when guidelines allow. Applying skin protectant solutions at the site can be appropriate to protect the skin or aid dressing adhesion, as long as they don’t interfere with cannula placement or sterility.