What immediate action should be taken if tenderness is detected at the CVC site upon palpation?

When tenderness is detected at the central venous catheter (CVC) site upon palpation, notifying the physician is the most appropriate immediate action. Tenderness may indicate potential issues such as infection, infiltration, thrombosis, or other complications associated with the catheter. The physician has the expertise to assess the situation further and determine the need for additional interventions, such as diagnostic evaluations or modifications in treatment.

Acting promptly to inform the physician can facilitate timely management of any complications, reducing the risk of further patient harm or worsening of the condition. The physician may choose to conduct a more thorough evaluation, order tests, or initiate treatment based on the findings, all of which could be vital in ensuring patient safety and effective care.

In contrast, simply documenting and continuing to monitor may delay necessary interventions. Changing the dressing immediately may not address the underlying cause of tenderness if an issue is present. Removing the CVC is also an extreme measure that may not be warranted at the initial stage of tenderness and could expose the patient to additional risks.

Thus, the focus should be on effective communication and assessment, making it vital to inform the physician as the initial step.