Safety and Emergency Care · NCLEX Exam

A patient’s IV tubing becomes disconnected and blood is visible in the line. What should the nurse do first?

  1. Document the event in the chart and wait for the next shift to report it
  2. Clamp the tubing, apply a clean dressing to the site, and notify the provider
  3. Immediately call a code blue and begin chest compressions on the patient
  4. Plan to change the IV site sometime within the next 24 hours and continue
Show answer and explanation

Correct answer: Clamp the tubing, apply a clean dressing to the site, and notify the provider

This is a safety/emergency situation – blood visible in the IV line indicates risk of infection/bleeding; the nurse should take immediate corrective action, secure the site, and notify provider.

Difficulty: Easy Question 1 of 20

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