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 rationaleContacting the provider ensures that the client receives appropriate medical intervention promptly, which may include adjusting fluid intake or administering diuretics to manage fluid overload.Choice B rationaleReporting the error to the charge nurse helps ensure that the incident is documented and addressed promptly, facilitating proper follow-up and preventing future errors.Choice C rationalePlacing an incident report in the client’s chart is not appropriate because incident reports should be separate from the client’s medical record to maintain confidentiality and avoid legal issues.Choice D rationaleAuscultating the client’s lungs can help detect signs of fluid overload, such as crackles or rales, indicating pulmonary edema that requires immediate intervention.Choice E rationaleChecking the client for peripheral edema helps identify signs of fluid overload, such as swelling in the extremities, which may indicate the need for intervention to prevent complications.