What is the priority assessment for a confused older client who has changed settings on an IV infusion pump?

The most appropriate priority assessment for a confused older client who has altered settings on an IV infusion pump is to evaluate signs of fluid overload or complications associated with infusions, as indicated by distended hand veins, elevated blood pressure, and moist lung crackles.

Confusion in older adults can lead to potential issues with IV therapy, including incorrect infusion rates or volume, which increases the risk of fluid overload. Assessing for distended hand veins can indicate excessive intravenous fluid administration, while elevated blood pressure is a systemic response that may occur with overload. Furthermore, moist lung crackles signify the presence of pulmonary edema, a serious complication that can arise when excess fluid accumulates in the lungs.

By focusing on these cardiovascular and respiratory signs, healthcare providers can quickly identify and address any imminent complications associated with the IV infusion, which is crucial in a confused client who may not be able to communicate their symptoms effectively. Prioritizing these assessments ensures timely interventions to prevent further deterioration of the patient's condition.