An older client receiving intravenous fluids at 175 ml/hr is demonstrating crackles, shortness of breath, and distended neck veins. The nurse recognizes these findings as being which complication of intravenous fluid therapy?
1. An allergic reaction to the antibiotics in the fluid
2. Fluid volume excess
3. Pulmonary embolism
4. Speed shock
Correct Answer: 2
Rationale 1: The information provided does not support that the client is receiving an antibiotic.
Rationale 2: Fluid volume excess may occur if clients, especially the very young or elderly, receive IV fluid rapidly.
Rationale 3: The information provided does not support the development of a pulmonary embolism.
Rationale 4: The client has been receiving fluids at the established rate and would not be experiencing symptoms of speed shock.
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