The client had a 1000-mL bag of 5% dextrose in 0.9% sodium chloride hung at 15:00. The nurse, making rounds at 15:45, finds the client is complaining of a pounding headache, is dyspneic with chills, is apprehensive, and has an increased pulse rate. The intravenous (IV) bag has 400 mL remaining. The nurse should take which of the following actions first?
A) Shut off the infusion.
B) Sit the client up in bed.
C) Remove the angiocatheter and IV.
D) Place the client in Trendelenburg's position.
Correct Answer:
Verified
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