The IV catheter hub is pink. What size IV jelco is it?

Choice A reason: Vein distension under the needle may indicate improper placement or infiltration, not successful cannulation. Advancing the catheter without blood return risks extravasation, causing tissue damage or therapy failure.
Choice B reason: Lack of discomfort is not a reliable indicator of proper catheter placement. Patients may not feel pain despite incorrect positioning. Blood return confirms venous access, ensuring safe advancement of the catheter.
Choice C reason: Easy catheter advancement may occur but does not confirm venous placement. Without blood return, the catheter may be in tissue, risking infiltration. Blood return is the definitive sign for safe advancement.
Choice D reason: Blood return in the backflash chamber indicates the catheter is in the vein, confirming successful cannulation. This allows safe advancement, ensuring proper IV therapy delivery without risking extravasation or tissue damage.

Choice A reason: Replacing the IV catheter may be necessary if the site is compromised, but stopping the infusion first prevents further fluid extravasation, which can cause tissue damage or compartment syndrome due to fluid accumulation in the surrounding tissues.
Choice B reason: Adding tape does not address the leakage, which may indicate infiltration or dislodgement. Continuing the infusion risks extravasation, leading to tissue damage or infection. Stopping the infusion is the priority to prevent further complications.
Choice C reason: Stopping the infusion prevents further fluid leakage into tissues, which can cause infiltration, tissue necrosis, or compartment syndrome. This immediate action minimizes harm, allowing the nurse to assess the site and determine if the catheter is dislodged or infiltrated.
Choice D reason: Elevating the limb may reduce swelling in infiltration but does not address active leakage. Stopping the infusion is critical to prevent further fluid extravasation, which could lead to tissue damage or infection if not addressed promptly.