A patient reports pain and redness at a vascular access device (VAD) site. What action should the nurse take first?

• A. Apply a warm, moist compress.
• B. Aspirate the infusing fluid from the VAD.
• C. Report the situation to the health care provider.
• D. Discontinue the intravenous infusion.

Answer: (D)

Pain and redness at a vascular access device site signals possible irritation, infiltration, or early phlebitis. The priority is to discontinue the intravenous infusion right away. Stopping the IV removes the source of potential tissue damage, prevents further irritation from the infused fluid, and allows you to assess the affected area safely. After removal, you can inspect the site for swelling, drainage, or ecchymosis, apply appropriate site care, and decide whether a new IV is needed elsewhere or whether further orders are required. Other steps—such as trying to aspirate the fluid, applying heat or warmth while the IV is still in place, or delaying action to notify the provider—do not address the safety concern as effectively and can worsen injury or delay treatment.