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Which of the following nursing interventions is NOT appropriate when an IV infusion infiltrates?
Question

Which of the following nursing interventions is NOT appropriate when an IV infusion infiltrates?

A.

Immediately stopping the infusion

B.

Elevating the site

C.

Applying warm, moist compress

D.

Massaging or rubbing the site

Correct option is D


Ans. (d) Massaging or rubbing the site
Sol. IV infiltration occurs when IV fluid leaks into surrounding tissue instead of the vein. Massaging or rubbing the site is inappropriate because it can worsen tissue damage, increase swelling, and cause further irritation.
Explanation of each option:
(a) Immediately stopping the infusion – Correct intervention. The first step is to stop the IV infusion to prevent further infiltration.
(b) Elevating the site – Correct intervention. Elevating the limb reduces swelling and promotes fluid reabsorption.
(c) Applying warm, moist compress – Correct intervention. Warm compresses help dilate blood vessels and enhance fluid absorption.
(d) Massaging or rubbing the site – Incorrect intervention. It can spread the fluid further into tissues and cause more damage.

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