On the Infiltration Scale for Assessing a Peripheral Intravenous (IV)site,what

Multiple Choice

On the infiltration scale for assessing a peripheral intravenous (IV) site,what grade would the nurse document when the assessment indicates the skin is blanched with 4.5 cm of edema,and the area is cool to touch?

A) 1
B) 2
C) 3
D) 4