A Client Complains to a Nurse That His or Her

A client complains to a nurse that his or her I.V. site is "sore." The nurse notes that the site is red and edematous, but there is no palpable cord or streak. Using the criteria for infusion phlebitis, what should the nurse document as the severity of this phlebitis?

A) 1+
B) 2+
C) 3+
D) 4+