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

Rationale: A. Document findings is incorrect because while documentation is essential in nursing practice, it is not the immediate priority when a client is experiencing symptoms that could indicate a serious reaction. Recording information without first addressing the potential problem delays interventions that may prevent harm. Documentation should always follow assessment and stabilization. B. Reassure the client this is expected is incorrect because telling the client that dizziness and nausea are normal could downplay potentially serious signs. These symptoms could indicate hypotension, an allergic reaction, rapid infusion, or fluid/electrolyte imbalance. Reassurance without assessment puts the patient at risk and may delay emergency intervention if needed. C. Administer an antiemetic is incorrect because giving medication before assessing the patient could mask important clinical signs. While an antiemetic might relieve nausea, it does not address the underlying cause, which could be hypotension, a medication reaction, or fluid overload. Administering treatment without assessment violates patient safety principles. D. Stop the infusion and assess vital signs is correct. Stopping the infusion prevents further exposure to the medication that may be causing the reaction, and assessing vital signs helps determine if the patient is experiencing hypotension, tachycardia, or other signs of adverse reaction. After this assessment, the nurse can notify the provider, provide supportive care, and document appropriately.