A nurse plans to start an intravenous (IV) on a client. Which action should the nurse plan to take to ensure client safety before IV insertion?

Choice A reason:
Advocating for organ donation places the nurse’s values or the healthcare system’s needs above the client’s autonomy. Ethical nursing practice requires that organ donation decisions remain voluntary and free from pressure. The nurse must not promote or persuade the client to donate organs, especially at the end of life, as this may compromise ethical boundaries and trust.

Choice B reason:
While determining a client’s wishes is important, initiating discussions about organ donation is not the nurse’s responsibility unless the client independently expresses interest. Conversations about organ donation are typically handled by designated personnel to avoid coercion and ensure ethical compliance. The nurse should not independently consult the client about donation eligibility at the end of life.

Choice C reason:
Discussing organ donation with the family is also not the nurse’s role unless specifically directed by institutional policy and coordinated through the appropriate organ procurement organization. Introducing the topic directly may cause emotional distress and may be perceived as pressure during a vulnerable time.

Choice D reason:
The nurse’s primary responsibility at the end of life is to prioritize comfort care measures, including pain management, emotional support, and preservation of dignity. End-of-life nursing care focuses on alleviating suffering and supporting the client and family, regardless of organ donation eligibility. This action aligns with ethical principles of beneficence and nonmaleficence.

Choice A reason:
Assessing vital signs is important when infection or systemic involvement is suspected; however, the priority is to stop the source of injury. A red streak and warmth along the vein indicate phlebitis, which requires immediate intervention to prevent progression. Vital signs can be assessed after the offending catheter is removed.

Choice B reason:
Applying a cool compress may help relieve inflammation and discomfort associated with phlebitis, but it does not address the underlying cause. Supportive measures should only be implemented after the IV catheter has been discontinued to prevent further vascular irritation.

Choice C reason:
A red streak and warmth along the vein are classic signs of phlebitis. The first and most important action is to remove the IV catheter to prevent further inflammation, tissue damage, or infection. Removing the source of irritation is the priority intervention according to safety and nursing standards.

Choice D reason:
Notifying the healthcare provider may be necessary if complications develop or further treatment is required. However, this is not the first action. Immediate nursing intervention is required to stop the progression of phlebitis before escalation of care.