If a nurse discovers an IV solution infusing at a rate of 250 mL/hr, while the prescribed rate is 125 mL/hr, what should the nurse do first?

The priority in this situation is to address the immediate risk associated with the infusion rate. Slowing the IV infusion to the prescribed rate is essential to prevent potential complications related to fluid overload, such as pulmonary edema or heart failure, especially if the patient has any underlying conditions that could be exacerbated by receiving double the intended fluid volume.

Addressing the infusion rate immediately ensures patient safety. Following this action, further assessments and actions can be taken, such as determining when the IV solution was started or checking the IV insertion site for complications. However, those concerns come after the nurse has controlled the IV flow rate to the safe and prescribed level. Reporting to the healthcare provider is also important but should occur after the immediate correction has been made. This sequence helps minimize risk and prioritizes patient well-being.