IV therapy findings

  • NCLEX-PN
  • Physiological Adaptation
  • Select all that apply
  • Difficulty 3 of 5

Question

Which new findings at a peripheral IV site should the nurse report? Select all that apply.

  1. Redness around the catheter✓ Correct

    New redness is unexpected.

  2. Swelling around the insertion site✓ Correct

    New swelling needs follow-up.

  3. Cool skin at the insertion site✓ Correct

    New coolness is unexpected.

  4. No tenderness at the site✗ Incorrect

    Absence of tenderness is expected.

  5. No swelling at the site✗ Incorrect

    A site without swelling is expected.

Answer

A. Redness around the catheter · B. Swelling around the insertion site · C. Cool skin at the insertion site

Rationale

Changes at the insertion site can indicate an IV complication. Redness, swelling, and unusual coolness are unexpected and require follow-up.

RememberNew redness, swelling, or coolness at an IV site needs follow-up.

Sources

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