The nurse is providing care for a patient whose central venous pressure (CVP) is 12 mm Hg. Which of the following actions is most appropriate?
a. Measure urine specific gravity.
b. Determine level of consciousness.
c. Assess skin turgor.
d. Listen to breath sounds.
ANS: D
Normal CVP: 2 to 6 mm Hg. Reflects fluid volume status, so an increased CVP indicates heart failure. The heart is not pumping effectively, so blood is backing up, raising the CVP reading and placing the patient at risk of pulmonary edema.
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