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admin 1 min read Nursing

[Solved]: Client is awake and oriented

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Client is awake and oriented. Peripheral IV is intact in left hand, no drainage, swelling, or discoloration noted at site. IV dressing is dry and occlusive. Dextrose 5% in 0.9% sodium chloride with 20 mEq of potassium chloride per liter is infusing at 100 mL/hr. Lungs are clear bilaterally, heart rate is regular, abdomen is soft and non-tender. Mucus membranes are dry, and skin turgor is poor. Which of the following actions should the nurse take upon assessing the IV fluid? Select all that apply. Remove the IV catheter. Stop the IV infusion. Avoid documenting on the client’s chart that the provider was notified. Complete an incident report. Check the client’s allergy band. Anticipate a provider prescription to check the client’s electrolytes. Increase the IV infusion rate to 150 mL.

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