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Which of the ff must the nurse consider when administering IV fluids to clients with hypertension?

  • A. The nurse checks the clients BP every hour
  • B. The nurse checks the site and progress of the infusion every hour
  • C. The nurse checks the progress of the infusion once a day
  • D. The nurse checks the client's pulse rate every hour
Correct Answer: B

Rationale: When administering IV fluids to clients with hypertension, the nurse must closely monitor the site and progress of the infusion every hour to ensure proper hydration and detect any signs of complications such as infiltration or infection. Checking the blood pressure every hour, as in choice A, may not be necessary unless specifically indicated by the healthcare provider. Checking the progress of the infusion once a day, as in choice C, does not provide adequate monitoring for a client with hypertension who may be at higher risk for fluid volume overload. Checking the client's pulse rate every hour, as in choice D, is important but does not directly address the immediate monitoring needs related to the administration of IV fluids.