Difficulty: Medium
Average Score: 69%
Simulated
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of lactated Ringer's solution. Which of the following actions should the nurse take?
Correct answer
B
Rationale
Fluid overload (e.g., dyspnea) is a risk with IV fluids, requiring monitoring. Site changes are every 72-96 hr, heparin isn't routine, and rate depends on orders.