The most appropriate way to determine that the IV fluid is infusing into the vein is for the nurse to:
A. Lower the IV bag or bottle to the floor level
B. Open the roller clamp and watch the fluid infuse over 5 minutes
C. Disconnect the IV tubing and watch for blood leakage
D. Compress the vein slightly proximal to the IV catheter and check the drip chamber for cessation of flow
D
D. When obstruction is absent, flow rate will increase as roller clamp is adjusted.
A. Lowering IV container below level of IV site for presence of blood return (retrograde) is an unreliable indicator.
B. Do not run IV fluids at open rate except in some emergencies.
C. Maintain a closed system.
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