A nurse is caring for a client who is receiving continuous IV therapy. Exhibits Drag words from the choices below to fill in each blank in the following sentence. Based on the client's manifestations, they developed dropdown and dropdown
Explanation & Rationale
Rationale for Correct Choices Thrombophlebitis: The client has a red streak along the vein, palpable cord, warmth, tenderness, and pain at the IV site, which are classic signs of thrombophlebitis. This condition involves inflammation of the vein often accompanied by a thrombus. Infection: Presence of purulent drainage at the IV insertion site along with fever (38.6° C / 101.5° F) indicates a local IV-related infection. Infection can occur secondary to thrombophlebitis or as an independent complication of IV therapy. Rationale for Incorrect Choices Extravasation: Extravasation involves leakage of vesicant medication into surrounding tissue causing tissue damage, which is not described here. Infiltration: Infiltration is the leakage of nonvesicant IV fluid into surrounding tissue, typically causing swelling, pallor, and coolness, not the red streak and purulent drainage seen in this client. Circulatory overload: Circulatory overload presents with dyspnea, hypertension, and edema, none of which are noted in this client. Phlebitis: Phlebitis involves vein inflammation and pain but does not usually include purulent drainage. Thrombophlebitis better describes the combination of inflammation with a palpable cord.