The physician orders an IV of 5% dextrose in normal saline (0.45% sodium chloride) to infuse over a 10-hour period. Which of the following actions should the nurse take? (Select all that apply.)
A) Monitor intake and output (I&O) every shift.
B) Monitor weight daily.
C) Flush with heparin solution intermittently.
D) Monitor lung sounds every 4 hours.
E) Monitor IV site for infiltration.
F) Monitor blood sugar levels.

Question

Quizplus · Accepted Answer

To monitor fluid overload, it is important to assess lung sounds and I&O. Monitoring the IV site for infiltration or phlebitis is also critical.

The Physician Orders an IV of 5% Dextrose in Normal