A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)

Choice A rationale Contacting the provider is essential to inform them of the error and receive further instructions on managing the client’s condition. Choice B rationale Reporting the error to the charge nurse is necessary for proper documentation and to ensure that corrective actions are taken to prevent future errors. Choice C rationale Incident reports should not be placed in the client’s chart. They are for internal use to improve safety and quality of care. Choice D rationale Auscultating the client’s lungs is important to check for signs of fluid overload, such as crackles or wheezing. Choice E rationale Checking for peripheral edema helps assess the extent of fluid overload and its impact on the client’s condition.