Difficulty: Medium
Average Score: 85%
Simulated
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride IV at 75 mL/hr. Which of the following actions should the nurse take?
Correct answer
C
Rationale
Calculating intake per shift monitors fluid balance. Heparin isn't routine for saline, site checks are more frequent (e.g., hourly), and bags change every 24 hr.