79. The nurse is assessing a patient who is receiv-
ing IV fluid and medication. Which finding is
the most serious? (478)
1. The patient complains of pain at the inser-
tion site.
2. The patient is dyspneic and has a weak,
thready pulse.
3. The patient's arm is swollen and the skin is
cool to the touch.
4. The patient is very scared and upset be-
cause the IV bag is empty.