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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A nurse is assessing a client who has a peripheral IV line. Which of the following findings would suggest the client has developed infiltration?
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Red streaking along the vein.
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Warmth and redness at the IV site.
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Correct answer Swelling and pallor at the IV site.
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Purulent drainage at the IV site.
Rationale
Infiltration occurs when IV fluid leaks into the surrounding tissue, causing swelling and pallor at the IV site. Red streaking, purulent drainage, and warmth and redness are signs of infection or phlebitis, not infiltration.
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