The nurse notes that the site of a client's peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter
After taking appropriate steps to care for the client, the nurse documents in the medical record that the client has experienced: 1. Phlebitis of the vein
2. Infiltration of the IV line
3. Hypersensitivity to the IV solution
4. Allergic reaction to the IV catheter material
1
Rationale: Phlebitis at an IV site can be distinguished by client discomfort at the site, as well as by redness, warmth, and swelling proximal to the catheter. The IV line should be discontinued, and a new line should be inserted at a different site. The remaining options are incorrect.
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