Care Manager Certification Practice Exam

Which of the following is a priority nursing intervention for a client receiving IV fluid therapy?

1. Monitor blood pressure periodically

2. Replace fluid every 24 hours

3. Count drops and verify the IV rate

4. Switch to oral fluids if tolerated

The correct answer is: Count drops and verify the IV rate

The priority nursing intervention for a client receiving IV fluid therapy involves ensuring that the IV fluids are delivered at the correct rate, as it directly affects the patient's fluid balance and overall condition. Counting drops and verifying the IV rate allows the nurse to confirm that the prescribed fluids are being administered as intended. Proper flow rates are crucial for maintaining homeostasis, ensuring electrolyte balance, and preventing complications that could arise from infusion errors, such as fluid overload or dehydration. This focus on monitoring the infusion rate ensures that any discrepancies can be caught and addressed promptly, safeguarding the patient's health. While monitoring blood pressure is important and fluid replacement schedules are necessary, the immediate management of the IV rate takes precedence in this context. Switching to oral fluids is a consideration that depends on the patient's condition and should only be implemented when safe and appropriate. Thus, the correct response aligns with the critical aspects of managing IV therapy effectively.