Answered

The nurse suspects a patient receiving IV therapy is experiencing fluid overload. Which assessment should the nurse perform first?

Select one:
A. Observe the patient's feet for edema.
B. Inspect the insertion site for infiltration.
C. Check the patient's weight.
D. Assess lung sounds for crackles.



Answer :

GinnyAnswer

Final answer:

The nurse should first assess lung sounds for crackles to determine fluid overload in a patient receiving IV therapy.


Explanation:

The nurse should first assess lung sounds for crackles to determine if the patient is experiencing fluid overload. Crackles can indicate the presence of fluid in the lungs, which is a crucial sign in fluid volume assessment.

After assessing lung sounds, the nurse may proceed to check the patient's weight, observe for edema in the feet, and inspect the insertion site for infiltration as part of the comprehensive assessment.


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