The Nurse Is Caring for a Patient Receiving a Continuous

The nurse is caring for a patient receiving a continuous IV infusion who develops sudden dyspnea, chest pain, and change in mental status. Which interventions should the nurse implement? (Select all that apply.)

A) Notify the health care provider (HCP) .
B) Place the patient in high-Fowler position.
C) Administer oxygen as ordered.
D) Monitor vital signs.
E) Culture the IV site.