A client is prescribed an IV infusion of 0.9% Sodium Chloride at 125 mL/hr. The nurse notes swelling, coolness, and pain at the insertion site. Which action should the nurse take first?

Question

BrainForge Quiz · Accepted Answer

C) Discontinue the infusion and remove the catheter.. The signs (swelling, coolness, pain) indicate IV infiltration, where fluid leaks into surrounding tissue. The priority is to stop the infusion and remove the catheter to prevent further tissue damage.

A client is prescribed an IV infusion of 0.9% Sodium Chloride at 125 mL/hr. The nurse notes swelling, coolness, and pain at the insertion site. Which action should the nurse take first?

✓ Correct Answer: Option C

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