The nurse is caring for a newly admitted patient who has severe gastroenteritis. The patient's electrolytes reveal a serum sodium level of 140 mEq/L and a serum potassium level of 3.5 mEq/L. The nurse receives an order for intravenous 5% dextrose and normal saline with 20 mEq/L potassium chloride to infuse at 125 mL/h. Which action is necessary prior to administering this fluid?

Question

Quizplus · Accepted Answer

Prior to administering intravenous fluids, the nurse should evaluate the patient's urine output to ensure adequate renal function and avoid fluid overload. Contacting the provider for arterial blood gases would not be necessary for this fluid order. A potassium bolus may be necessary for severe hypokalemia, but the potassium level in this scenario is within normal range. Suggesting a low sodium and potassium diet may be important for long-term management, but is not necessary prior to administering this fluid.

The Nurse Is Caring for a Newly Admitted Patient Who