Following surgery, a client is receiving 1000 ml normal saline (IV) with 40 mEq (40 mmol/l) KCl which has been ordered to be infused at 125 ml/hr. The client states, "My IV hurts." What should the nurse do first?
a) Assess the IV site for signs of phlebitis, extravasation, or IV-related infection.
b) Contact the client's physician for a different IV order.
c) Check the hanging parenteral fluid and administration set for documentation as to when they were last changed.
d) Slow down the infusion to a keep-open rate (20-50 ml/hr).
Ans: a) Assess the IV site for signs of phlebitis, extravasation, or IV-related infection.
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