Which finding would most likely indicate an IV site complication such as infiltration?

• A. Swelling around the IV site
• B. Normal skin color around the site
• C. Pain relieved with movement
• D. Cool, dry skin distant from the site

Answer: (A)

Infiltration happens when IV fluid leaks into the surrounding tissue, causing edema around the catheter. The clearest sign is swelling around the IV site, which reflects the fluid that has escaped into the tissue. Normal skin color around the site would suggest the IV is still in place and not infiltrated. Pain that is relieved with movement doesn’t fit infiltration and could point to another issue like musculoskeletal strain. Cool, dry skin distant from the site isn’t the typical pattern for IV infiltration, which presents with swelling and often pallor or coolness right at and around the catheter. If infiltration is suspected, stop the infusion, remove the catheter, and manage the area as appropriate.