Your patient complains of IV insertion site pain and tenderness. The area is warm and appears red along the vein course starting at the access site. What should you do FIRST?

In this scenario, the patient's symptoms—pain, tenderness, warmth, and redness along the vein course—are indicative of a possible complication, such as phlebitis or infiltration. The first appropriate action is to notify the registered nurse. This is crucial for several reasons.

First, the registered nurse has the authority to assess the situation more comprehensively and determine the appropriate interventions based on the facility's protocols and clinical judgment. As a licensed practical nurse (LPN), it's important to collaborate with the registered nurse, especially when there may be a change in the patient's condition that could require further evaluation or escalation of care.

Taking this step ensures that the patient's safety is prioritized while also allowing for a coordinated approach to management. Notifying the registered nurse is an essential communication step in addressing the patient's needs effectively and promptly.

Other actions, such as changing the IV site, applying a warm compress, or documenting the findings, may also be necessary, but they depend on the registered nurse’s assessment and subsequent orders. The most immediate and responsible action here is to communicate the findings to the registered nurse to ensure appropriate management of the suspected complication.