For a client with a peripheral IV, the nurse suspects phlebitis as a result of observing:
A. Erythema along the vein path
B. Edema around the insertion site
C. Tachycardia and hypertension
D. Decreased skin temperature
A
A. Phlebitis is indicated by pain, increased skin temperature, erythema along path of vein.
B. Infiltration at site is indicated by swelling and possible pitting edema, pallor, coolness, pain at insertion site, possible decrease in flow rate.
C. Fluid volume deficit (FVD) is manifested by decreased urine output, dry mucous membranes, decreased capillary refill, a disparity in central and peripheral pulses, tachycardia, hypotension, shock.
D. Phlebitis is indicated by pain, increased skin temperature, erythema along path of vein.
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