QUESTION IMAGE
Question
a nurse is caring for a client who reports burning around the peripheral iv site. which of the following findings should the nurse identify as a manifestation of infiltration?
dryness
edema
erythema
a distended vein
Infiltration occurs when the IV fluid leaks into the surrounding tissue. This leads to edema (swelling) at the IV site. Dryness is not related to infiltration. Erythema (redness) is more associated with phlebitis. A distended vein is not a sign of infiltration; rather, the vein may collapse or not have a good blood return in case of infiltration.
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Edema