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    ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1 Proctored Exam

    A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter.Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.

    Explanation & Rationale

    Choice A rationale:Blood backing up in the IV tubing indicates a problem with the IV line, not necessarily infiltration.Choice B rationale:A long red streak up the arm could indicate phlebitis, not infiltration.Choice C rationale:Loose tape could cause the IV needle to dislodge, but it doesn’t directly indicate infiltration.Choice D rationale:Swelling around the IV site is a common sign of infiltration.So, the correct answer is D. “My baby’s fingers are looking swollen.”.

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