A nurse assesses a client who is receiving an intermittent I.V. infusion of vancomycin hydrochloride. The nurse notes that the I.V. site is warm, edematous, and indurated. The nurse also observes red streaking of the skin, peau d'orange skin, and vesicles. Based on this information, which condition should the nurse suspect?

Question

Quizplus · Accepted Answer

The symptoms described, such as warm, edematous, indurated site, red streaking, peau d'orange skin, and vesicles, are indicative of extravasation, where the medication has leaked into the surrounding tissue causing irritation and damage.

A Nurse Assesses a Client Who Is Receiving an Intermittent