Difficulty: Medium
Average Score: 68%
Simulated
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?
Correct answer
B
Rationale
Swollen fingers suggest infiltration as fluid leaks into tissues, unlike blood backup (clot/flow issue), red streak (phlebitis), or loose tape (security issue).