Difficulty: Medium
Average Score: 74%
Simulated
The nurse is assessing a client receiving intravenous (IV) fluids via a peripheral vascular access device (PVAD). Assessment findings show swelling and tenderness at the infusion site. The nurse should perform which action?
Correct answer
A
Rationale
Swelling and tenderness indicate infiltration, requiring stopping the infusion and removing the PVAD.