A nurse is monitoring an older adult client who is receiving IV fluid therapy.
Test Answer
Which of the following assessment findings should the nurse recognize as an adverse effect of excess fluid therapy? (Select all that apply.
Answer:
Edema
Crackles in lungs
Elevated bp
Jugular venous distention
Explanation
The client is at risk for which of the following?The client is at risk for fluid overload and electrolyte imbalance.
If you are a nurse or other medical professional and are responsible for a patient’s care, it is important to check the client’s medical chart for any orders or instructions from the physician. This helps to ensure that you are providing the best possible care for the patient and that you are following the physician’s wishes.
If the client is showing any signs or symptoms of dehydration, it is important to take action immediately. Dehydration can be extremely dangerous, and even deadly. Symptoms of dehydration include:-Thirst-Dry mouth-Fatigue-Headache-Dizziness-ConfusionIf the client is showing any of these symptoms, it is important to encourage them to drink plenty of fluids and seek medical attention if the symptoms persist or worsen.
The client’s vital signs are all within normal limits. There is no evidence of distress or discomfort.
As a nurse, it is important to monitor the IV infusion for proper rate and volume. This ensures that the patient is receiving the correct amount of medication and that the infusion is working properly.
The client’s response to fluid therapy has been positive. They have been able to maintain hydration levels and have not experienced any adverse effects.
Conclusion
The nurse is aware that which of the following would be an expected finding in this client?A. EdemaB. HypertensionC. TachycardiaD. Increased urinary outputThe expected finding in this client would be increased urinary output.
