Question

A nurse receives report about a client with 0.9% sodium chloride IV at 125 ml/hr. The nurse notes the client received only 80 ml over the last 2 hours. What action should the nurse take first?

a. Assess the IV site for complications
b. Increase the IV rate to catch up
c. Notify the healthcare provider
d. Document the intake accurately

Answer 1

The nurse should first assess the IV site for complications.

Step-by-step explanation:

The nurse should first assess the IV site for complications. It is important to check the IV site for signs of infection, infiltration, or phlebitis. These complications can affect the absorption of the IV fluid and may require immediate intervention.