If a nurse notes signs of infiltration at an IV site, what is the best initial action?

The best initial action when a nurse notes signs of infiltration at an IV site is to elevate the affected extremity after discontinuing the IV. Infiltration occurs when IV fluids leak into the surrounding tissue rather than remaining within the vein. Elevating the limb helps to reduce swelling and promotes venous return, minimizing discomfort and potential complications.

Discontinuing the IV at the site is essential to prevent further infiltration and damage to the tissue. Elevation helps manage the immediate effects of the infiltration, supporting the healing process. This initial action sets the stage for further interventions, such as monitoring the site for changes or applying additional treatments as needed.