What should a nurse review if a client is disoriented while receiving IV fluids?

When a client presents disorientation while receiving IV fluids, it is crucial for the nurse to consider the potential impact of medications on the client’s cognitive status. Some medications can cause side effects that include confusion or disorientation. By reviewing the client's medication list, the nurse can identify any drugs known to affect mental status, such as sedatives, opioids, or other psychoactive agents, and assess whether any recent changes in medication could be contributing to the client's disorientated state. This step is essential in determining the root cause of the disorientation so that appropriate interventions can be implemented.

Monitoring vital signs more frequently, while important in assessing overall stability, does not directly address the issue of confusion. Increasing the IV fluid rate does not typically correlate with resolving disorientation and may even complicate the client’s condition if not indicated. Consulting a psychiatrist may be necessary if psychological issues are identified, but it is more logical to first rule out medication effects and immediate physiological concerns. Hence, reviewing medications is a vital step before taking further action.