How should a nurse respond to a client who shows signs of fluid overload while receiving IV fluids?

When a client shows signs of fluid overload while receiving IV fluids, the appropriate nursing response is to notify the healthcare provider and slow the infusion. Fluid overload can lead to serious complications, such as pulmonary congestion or heart failure, particularly if the client has underlying health conditions. By slowing the infusion, you reduce the immediate volume delivered, potentially alleviating further fluid accumulation and allowing the healthcare provider time to assess the situation and determine any necessary interventions.

Notifying the healthcare provider is crucial because they may need to reassess the client’s fluid requirements and adjust the treatment accordingly, such as considering diuretics or other modifications in the client’s care plan. This coordinated approach helps ensure the client receives the most appropriate treatment while minimizing risks associated with fluid overload.

Monitoring the infusion without taking any action could allow the situation to worsen, making it essential to respond proactively. Raising the client’s legs may be helpful in certain scenarios, but it does not address the underlying issue of fluid overload and might not be appropriate in all cases. Administering diuretics is a specific action that may be necessary based on a provider’s orders, but this would typically occur after the healthcare provider has been notified and assessed the patient.