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    Ati nur250 med surg proctored exam

    A nurse is assessing a client who is receiving continuous IV therapy through a peripheral IV. The catheter site is cool and taut, and there is IV fluid leaking. The nurse should identify that the client has manifestations of which of the following complications?

    Explanation & Rationale

    A. Circulatory overload involves systemic fluid excess, presenting with signs such as hypertension, dyspnea, and crackles—not localized symptoms. B. Infection typically presents with redness, warmth, swelling, and purulent drainage, not coolness or fluid leakage. C. Infiltration occurs when IV fluid leaks into surrounding tissue, causing the site to appear cool, swollen, taut, and possibly painful. This matches the signs described. D. Phlebitis is inflammation of the vein, characterized by warmth, redness, and tenderness along the vein—not a cool or leaking site.

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