When swelling occurs in the tissues surrounding the IV site, the nurse should first:
a. check for venous backflow. c. restart the infusion in a different site.
b. discontinue the infusion. d. apply warm, moist packs to the skin.
ANS: A
Feedback
A Correct: Although infiltration should be suspected, checking for venous flowback is the accepted method of confirming infiltration.
B Incorrect: After infiltration is confirmed, the IV should be discontinued.
C Incorrect: This is performed after the IV is discontinued.
D Incorrect: This is performed after the IV is discontinued.
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