Difficulty: Medium
Average Score: 83%
Simulated
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hours. Which of the following actions should the nurse take?
Correct answer
B
Rationale
Signs of fluid overload require slowing the infusion and notifying the provider for further management.