The nurse is assessing the IV infusion at the beginning of the shift. Which factors should be included in the assessment of the infusion? Select all that apply
a. Proper IV solution is infusing, according to the physician's orders.
b. The IV solution is infusing at the proper rate, according to physician's orders.
c. The infusion is proper, according to the nurse's assessment of the patient's needs.
d. Capillary refill in the fingers is checked and noted.
e. The IV site date is noted.
f.
Whether the patient is sufficiently voiding is noted.
ANS: A, B, C, E
The nurse should verify that the proper IV solution is hanging and is flowing at the proper rate according to the physician's orders and the nurse's own assessment of the patient's needs. In addition, the nurse should note the date of the IV site and surrounding skin condition. Checking capillary refill is part of the cardiovascular assessment; checking the patient's voiding is part of the genitourinary assessment.
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