What is the notices that a client's I.V. insertion site is red, swollen, and warm to the touch?

Correct answer option A - Discontinue the I. V infusion.

The signs (red, swollen and warm to touch) at the site of IV insertion are all signs of infection and the infusion should be stopped from that site immediately.

A new insertion site should be opened and the infusion should continue through the new site. Applying a warm, moist compression to IV site, checking IV infusion for latency and applying and ice pack to the IV site are not the right actions to be taken by the nurse. The single best option to be taken by the nurse is option A.

Discontinue the i.v. infusion.-rationale: because redness, swelling, and warmth at an i.v. site are signs of infection, the nurse should discontinue the infusion immediately and restart it at another site. after doing this, the nurse should apply warmth to the original site. checking infusion patency isnt warranted because assessment findings suggest infection and inflammation, not infiltration. heat, not cold, is the appropriate treatment for inflammation.client needs category: physiological integrityclient needs subcategory: pharmacological and parenteral therapiescognitive level: applicationreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 626.