The Physician Orders an IV of 5% Dextrose in Normal

question 7

Multiple Choice

The physician orders an IV of 5% dextrose in normal saline (0.45% sodium chloride) to infuse over a 10-hour period. Which of the following actions should the nurse take? (Select all that apply.)

• A) Monitor intake and output (I&O) every shift.
• B) Monitor weight daily.
• C) Flush with heparin solution intermittently.
• D) Monitor lung sounds every 4 hours.
• E) Monitor IV site for infiltration.
• F) Monitor blood sugar levels.

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Definitions:

Hyperemia

An excess of blood in the vessels supplying an organ or other part of the body.

Induration

Hardening of a tissue, particularly the skin, because of edema or inflammation.

Blanching

A temporary whitening of the skin due to lack of blood flow, often used as a test for skin elasticity or capillary refill.

Transparent

Characterized by clarity and openness, allowing for visibility or understanding; often used figuratively to describe clear, honest communication.