A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?

A. "My baby's fingers are looking swollen.": Swelling around the IV site can indicate infiltration, where IV fluids leak into surrounding tissues rather than being infused into the vein.

B. "The tape is coming off the IV needle.": While loose tape may need to be replaced, it does not specifically indicate infiltration.

C. "There's blood backing up my baby's IV tubing.": Blood backflow can indicate various issues such as improper placement or the IV being too low, but not necessarily infiltration.

D. "There's a long red streak up my baby's arm.": A red streak can indicate phlebitis, inflammation of the vein, rather than infiltration, which typically presents with swelling and coolness around the IV site.

A. ``Sweating can occur with hypoglycaemia." Sweating is a common symptom of hypoglycemia due to the activation of the sympathetic nervous system. This statement is accurate and does not require clarification.

B. "My son might have nausea and vomiting with hypoglycemia." Nausea and vomiting are typically associated with hyperglycemia and diabetic ketoacidosis (DKA), not hypoglycaemia. Hypoglycaemia usually presents with symptoms like sweating, shakiness, confusion, and hunger. This statement indicates a misunderstanding that needs to be clarified.

C. ``My son might complain of feeling shaky when he has a low blood glucose level." Feeling shaky is a common symptom of hypoglycemia due to the body's response to low blood glucose levels. This statement is correct and does not need clarification.

D. "The onset of low blood glucose usually occurs rapidly." Hypoglycaemia often has a rapid onset, particularly when caused by factors like excessive insulin or missed meals. This statement is accurate and does not require clarification.