After stopping an IV infiltration, what is the next immediate nursing action?

Study for the NMNC 4335 IV Skills Test. Explore flashcards and multiple choice questions, each with hints and explanations. Prepare for your exam today!

Multiple Choice

After stopping an IV infiltration, what is the next immediate nursing action?

Explanation:
Protecting the IV site from infection is the immediate priority after stopping an infiltration. When fluid leaks into surrounding tissue, the puncture site has been exposed and skin integrity is compromised, so covering it with a sterile dressing helps keep the area clean and reduces infection risk while you continue assessment and care. After securing a dressing, assess the site for swelling, pain, and changes in skin color, and monitor the limb. Elevating the extremity and applying warm or cold compresses are useful supportive measures to manage swelling and comfort, but these come after the site is protected. Inserting a new catheter on the opposite extremity is not done right away; the focus initially is on stabilizing and protecting the affected site and planning further care based on assessment.

Protecting the IV site from infection is the immediate priority after stopping an infiltration. When fluid leaks into surrounding tissue, the puncture site has been exposed and skin integrity is compromised, so covering it with a sterile dressing helps keep the area clean and reduces infection risk while you continue assessment and care. After securing a dressing, assess the site for swelling, pain, and changes in skin color, and monitor the limb. Elevating the extremity and applying warm or cold compresses are useful supportive measures to manage swelling and comfort, but these come after the site is protected. Inserting a new catheter on the opposite extremity is not done right away; the focus initially is on stabilizing and protecting the affected site and planning further care based on assessment.

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