What should the nurse do if a client starts screaming, "I can't breathe!" during an IV infusion of normal saline?

When a client expresses an acute sensation of not being able to breathe, it is crucial to address their immediate physical comfort and respiratory status. Elevating the head of the client's bed can facilitate easier breathing by taking the pressure off the diaphragm and allowing for better lung expansion. This position helps reduce anxiety and can provide immediate relief to the client in distress.

Obtaining vital signs is also essential as it provides immediate data regarding the client's hemodynamic stability and respiratory function, which are critical in assessing the severity of the situation. The nurse can monitor for changes in heart rate, blood pressure, respiratory rate, and oxygen saturation to determine if there is a need for further interventions.

While stopping the IV infusion or assessing for allergies may seem pertinent, the priority action in this scenario centers on ensuring the client can breathe and stabilizing their condition. Contacting the healthcare provider for a sedative may not directly address the acute need for respiratory support and could delay necessary interventions that alleviate the client's distress. Overall, responding promptly to the client's immediate needs while assessing vital parameters is the most effective approach to manage this critical situation.