The nurse is providing care for a patient diagnosed with an increase in afterload and a CVP reading of 7 mm Hg. Which of the following will be included in this patient's plan of care?
1. Provide diuretic therapy as prescribed.
2. Provide plasma.
3. Provide intravenous fluids.
4. Encourage an increase in fluids by mouth.
Provide diuretic therapy as prescribed.
Rationale: Excessive preload is evidenced by a CVP reading of greater than 6 mm Hg. The patient has excessive circulation, which strains the heart, increases the workload of the heart, and increases myocardial oxygen demands. Diuretic therapy would be indicated for this patient. Plasma, intravenous fluids, and oral fluids would all be indicated for a patient who is diagnosed with a decrease in preload and hypovolemia.
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