The nurse observes that the insertion site of an IV catheter looks pale and puffy and the area feels cool to the touch. The initial action for the nurse should be to:
A) discontinue the infusion and start a new IV site.
B) apply warm compresses to the site.
C) monitor the patient's temperature every 4 hours.
D) call the physician and report these findings.

Question

Quizplus · Accepted Answer

Infiltration is the most common complication of IV therapy, and it occurs when fluid or medication leaks out of the vein and into the tissue. The infusion should be discontinued immediately and a new insertion site initiated. Signs are pale, cool skin that is edematous (puffy).

The Nurse Observes That the Insertion Site of an IV