Question

a nurse is checking the iv insertion site for infiltration for a client who is receiving fluid replacement. which of the following findings should the nurse identify as infiltration of the iv infusion site? redness at the iv catheter entry site a palpable cord is felt along the vein used for the infusion taut skin around the iv catheter site that is cool to the touch bleeding at the iv insertion site

Explanation:

Infiltration occurs when IV fluid leaks into the surrounding tissue. Taut skin around the IV catheter site that is cool to the touch is a sign of infiltration as the fluid in the tissues causes swelling (taut skin) and the non - body - temperature fluid can make the area cool. Redness is more associated with phlebitis or infection. A palpable cord is a sign of thrombophlebitis. Bleeding at the site is a different type of complication not related to infiltration.

Answer:

Taut skin around the IV catheter site that is cool to the touch