The nurse is caring for a client with an IV line continuously infusing solution containing dextrose and water.The client complains of a burning pain along the course of the vein,and the nurse assesses the site to find redness,warmth,and mild swelling at the site.Based on these assessment findings,which term will the nurse use when documenting these findings?

Question

Quizplus · Accepted Answer

The client's symptoms indicate inflammation of the vein, which is known as phlebitis. This is likely caused by irritation from the IV infusion, and can occur when the IV catheter is inserted or if the IV solution is not well tolerated by the client. IV infiltrate (B) refers to fluid leaking into the surrounding tissue instead of remaining in the vein, which does not match the client's symptoms. Extravasated vesicant drug (C) refers specifically to a medication that has leaked into the tissue and can cause significant damage, and extravasation (D) refers to any fluid that has leaked outside the intended vessel, but these terms are not appropriate for this client's situation.

The Nurse Is Caring for a Client with an IV