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Practice Question

A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?

Answer Choices:

Correct Answer:

Phlebitis

Rationale:

🔷 Redness and warmth at an IV site are hallmark signs of phlebitis, which is inflammation of the vein.

🔷 This can result from mechanical irritation or infection at the catheter site.

🔷 Infiltration would present with coolness and swelling, not warmth.

🔷 Extravasation involves tissue damage from vesicant solutions, which is more severe than phlebitis.

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This question is from RN Capstone - Study Sprint which contains 10 questions.

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From Exam
RN Capstone - Study Sprint

10 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: ATI CAPSTONE
  • Answer Choices: 4
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