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19. 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 prioritize assessing the patient's lung sounds for crackles to identify fluid overload and provide prompt care.


Explanation:

The nurse should first assess the patient's lung sounds for crackles to determine if fluid overload is present. Crackles are abnormal sounds that can indicate fluid accumulation in the lungs, a common sign of fluid overload.

Assessing lung sounds is crucial in identifying respiratory issues and determining the need for immediate intervention.

By prioritizing the assessment of lung sounds for crackles, the nurse can promptly address the potential fluid overload and provide appropriate care to the patient.


Learn more about Nursing assessment and fluid overload here:

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