The PACU nurse is assessing a postoperative patient's intravenous fluids. Which assessments should be documented? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Location of the intravenous catheter
2. The length of time the catheter has been in place
3. The type of IV fluid infusing
4. The rate fluid is infusing
5. The type of IV catheter present
1,3,4,5
Rationale 1: The nurse should note the location of the IV catheter.
Rationale 2: The nurse should note the condition of the catheter but is not responsible for documenting the length of time the catheter has been in place.
Rationale 3: The nurse should document the type of fluid being infused as well as any additives to the base fluid.
Rationale 4: The nurse should note the rate IV fluid is infusing.
Rationale 5: The nurse should record the type of IV catheter present—for example, peripheral or PICC.
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