A client receiving an IV medication reports dizziness and nausea. What should the LVN do first?

Rationale: A. Reassure the client this is expected is incorrect because dizziness and nausea during IV administration are not automatically normal. Assuming it’s expected ignores potential adverse reactions and may delay appropriate intervention. B. Administer an antiemetic is incorrect because giving medication before assessing the patient’s status or determining the cause of symptoms may be unsafe. An antiemetic does not address the potential underlying problem, such as hypotension, allergic reaction, or rapid infusion. C. Document findings is incorrect because while documentation is important, it should never be the first action when a client is showing potential adverse effects. Immediate assessment and intervention take priority. D. Slow the infusion and assess vital signs is correct. The first step is to ensure patient safety by reducing the infusion rate to limit further adverse effects and assessing vital signs to determine if there are signs of hypotension, bradycardia, or other reactions. This step allows the nurse to identify the cause of symptoms and take appropriate further action, such as notifying the provider or stopping the infusion.