What step should be performed after venipuncture to minimize hematoma risk?

• A. Apply pressure after the draw.
• B. Rub the area vigorously.
• C. Leave the needle in place.
• D. Complete the draw without stopping pressure.

Answer: (A)

After venipuncture, applying firm, direct pressure to the puncture site is the most effective step to minimize hematoma risk. This pressure compresses the small blood vessel, helps the blood form a clot, and seals the puncture so blood does not seep into surrounding tissue.

Rubbing the area vigorously can disrupt the forming clot and irritate tissues, which increases bleeding rather than stops it. Leaving the needle in place isn’t needed and creates unnecessary tissue trauma and risk. Finishing the draw without stopping pressure means bleeding may continue, raising the chance of a hematoma.

In practice, place clean gauze over the site right after withdrawing the needle and hold firm pressure for several minutes (longer if the patient has bleeding risks). Then apply a bandage and monitor the area.