Asked by jessika stanley on Jul 29, 2024
Verified
Which assessments will alert the nurse that a patient's IV has infiltrated? (Select all that apply.)
A) Edema of the extremity near the insertion site
B) Reddish streak proximal to the insertion site
C) Skin discolored or pale in appearance
D) Pain and warmth at the insertion site
E) Palpable venous cord
F) Skin cool to the touch
IV Infiltrated
A condition where fluids or medications that are being administered intravenously leak out of the vein into the surrounding tissue.
Edema
Swelling caused by excess fluid trapped in the body's tissues, often affecting the legs, feet, or arms, and can result from various medical conditions.
Discolored Skin
A change in skin color, which may be a sign of injury, illness, or other medical conditions.
- Execute and oversee intravenous therapy, including its termination and the surveillance for potential complications.
Verified Answer
VL
Vidisha LuharJul 29, 2024
Final Answer :
A, C, F
Explanation :
Infiltration results in skin that is edematous near the IV insertion site. Skin is cool to the touch and may be pale or discolored. Pain, warmth, erythema, a reddish streak, and a palpable venous cord are all symptoms of phlebitis.
Learning Objectives
- Execute and oversee intravenous therapy, including its termination and the surveillance for potential complications.