The nurse who is monitoring an IV site for a client receiving normal saline watches out for the signs and symptoms of infiltration. Which of the following is a sign of this adverse condition?
A) Swelling
B) Skin hot to the touch
C) Feeling of softness in the area
D) No fluid evident around the catheter
A
Feedback:
Signs of infiltration include swelling or puffiness, coolness, pain at the insertion site (sometimes), feeling of hardness in the area, and possible leaking of fluid evident around the catheter. The area feels cool, because IV solutions are typically at room temperature, which is cooler than body temperature. The fluid may be leaking around the site, even though the catheter is in the vein; this can indicate that the flow of fluid is too fast.
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