護理師觀察到病人的靜脈導管（IV）部位紅腫且有熱感，優先採取的措施為何？
A nurse notes a client's IV site is red, swollen, and warm to the touch. What is the priority nursing action?
- ADiscontinue the IV infusion✓ 正解停止靜脈輸注
- BSlow the IV infusion rate減慢靜脈輸注速率
- CAdminister a cold compress給予冷敷
- DApply an antibiotic ointment塗抹抗生素藥膏
靜脈炎（Phlebitis）的跡象包括紅、腫、熱、痛。優先應停止輸液以防進一步刺激，避免藥物繼續滲入組織或引起更嚴重的併發症。隨後應移除導管、墊高患肢，並依臨床指引評估是否需要熱敷或冷敷。B 選項會持續刺激血管，錯誤；C 與 D 非首要處置。
Signs of phlebitis include redness, swelling, warmth, and pain. The priority is to stop the infusion to prevent further irritation and to avoid continued infiltration of medication into the tissue or more serious complications. The catheter should then be removed, the affected limb elevated, and the need for warm or cold compresses evaluated according to clinical guidelines. Option B continues to irritate the vein and is incorrect; options C and D are not the first-line interventions.
美台對靜脈炎處理原則一致，皆強調即刻停止輸液並移除導管，預防後續感染。