A client diagnosed with gastroenteritis and dehydration receives fluid volume replacement with normal saline infusing at 100 mL/hour. Four hours after the infusion is started, the... A client diagnosed with gastroenteritis and dehydration receives fluid volume replacement with normal saline infusing at 100 mL/hour. Four hours after the infusion is started, the nurse assesses the client and notes the BP is 84/50 mm Hg, the pulse is 110 beats/minute, and the urine output is 15 mL for the past hour and is dark yellow. Which action by the nurse is first?
Understand the Problem
The question is asking which action the nurse should prioritize when caring for a client diagnosed with gastroenteritis and dehydration. It provides information about the client's current condition and offers four potential actions, prompting the nurse to determine the most urgent intervention.
Answer
Assess the client's IV access.
Assess the client's IV access.
Answer for screen readers
Assess the client's IV access.
More Information
The nurse should first assess the IV access to ensure fluids are being delivered properly. This step can address low blood pressure and improve urine output if the IV is functional.
Tips
A common mistake is to skip assessment before acting. Confirm the current intervention is effective before making changes.
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