At 9:00 AM

Multiple Choice

At 9:00 a.m. a nurse finds a client, being infused with 5% dextrose in 0.9% sodium chloride, is having difficulty breathing. On assessment, the nurse notes increased blood pressure, distended jugular veins, and crackles on auscultation. A 1,000-ml infusion bag of solution was hung at 8:00 a.m. The remaining solution is measured at 600 ml. The nurse's most immediate action is to:

A) Notify the physician
B) Place the client on semi-Fowler's
C) Slow down the rate of infusion
D) Stop the infusion and remove the IV catheter