Which interventions should a nurse prioritize when extravasation is observed during IV therapy? (Select all that apply)

A. Stop the infusion immediately is correct because halting the infusion is the first priority to prevent further tissue damage. Continuing the IV can worsen the extravasation and increase the risk of complications such as tissue necrosis. B. Massage the area to disperse the fluid is incorrect because massaging can spread the infiltrated or vesicant solution, potentially causing more tissue damage. Most protocols recommend avoiding pressure or massage on the affected site. C. Wait for a response from the physician to stop the infusion is incorrect because immediate action is required. Waiting can allow more fluid to extravasate, increasing the risk of injury. Nurses should act promptly to stop the infusion and initiate local care according to policy. D. Notify the physician of the extravasation is correct because the physician may need to order specific interventions, such as antidotes, cold or warm compresses depending on the medication, or surgical consultation if tissue damage is severe. Early communication ensures timely treatment and reduces complications. E. Monitor for signs of tissue necrosis is correct because ongoing assessment of the site is critical to detect worsening damage, infection, or necrosis. Monitoring allows for early intervention if complications develop.