The nurse assesses the client's IV infusion and notes that it is infusing slowly. Which should the nurse implement? (Select all that apply.)
1. Observe for hypervolemia.
2. Check elevation of IV fluid.
3. Check position of extremity.
4. Increase the rate of infusion.
5. Discontinue IV insertion site.
6. Reevaluate fluid calculations.
2, 3, 6
2. If the IV bag is too low, the fluid lacks a sufficient gravitational pull to overcome intravenous pressure and, thus, the infusion slows down.
3. The infusion is potentially slowed by client positioning because flexion of a joint downstream to the insertion site impedes venous return and stops the infusion. The nurse instructs the client to maintain slight flexion to promote unobstructed flow.
6. The client is more likely to have fluid volume deficiency because IV fluids were restricted.
1. Realizing that the IV infusion is behind schedule, the nurse re-evaluates the fluid calculations to verify that the fluid volume infused is correct.
4. The nurse cannot increase the infusion rate without a prescription.
5. Discontinuing the IV site is premature until the nurse completes the assessment.
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