Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

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Prepare for the Nursing Acceleration Challenge Exam (NACE) PN-RN Test. Study with our expertly designed questions and detailed explanations. Enhance your skills and confidence for your exam!

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What condition is indicated by swelling, pallor, and coolness at an IV insertion site?

Inflammation.
Infiltration.
Allergic reaction.
Thrombosis.

The correct answer is: Infiltration.

The presence of swelling, pallor, and coolness at an IV insertion site typically indicates infiltration. Infiltration occurs when the intravenous fluid or medication leaks out of the vein and enters the surrounding tissue. This situation can lead to the accumulation of fluid in the interstitial spaces, resulting in swelling. The affected area may appear pale due to decreased blood flow or vascular compression, and the coolness is also associated with reduced perfusion as the fluid shifts away from the normal vascular patterns. Recognizing these signs is essential for immediate intervention, as continued infiltration can lead to further complications, including tissue damage and discomfort for the patient. Understanding the mechanisms and signs of infiltration is crucial for effective IV therapy management and patient care.