A 2-year-old toddler is to have intravenous (IV) antibiotic therapy. Which action will the nurse take to prevent the child from pulling out the IV line?

• A. Keep the arms restrained.
• B. Tell the child not to touch the IV site.
• C. Cover the IV site with a protective device.
• D. Have the parent hold the child continuously.

Answer: (C)

Young children often grab at or tug on IV lines, so the safest approach is to create a barrier that prevents access to the insertion site. Covering the IV site with a protective device provides a physical block that stops the child from pulling the line while allowing normal movement of other parts and ongoing monitoring. Verbal reminders aren’t reliable with toddlers, and continuous holding or restraints can cause distress and isn’t practical. A soft, protective covering keeps the IV secure without unnecessary distress, as long as it’s comfortable, does not restrict circulation, and is removed for brief checks and care as needed.