A patient in hypovolemic shock is receiving an intravenous colloid solution (plasma expander). Which assessment findings indicate to the nurse that the infusion rate should be reduced?
Select all that apply.
1. prothrombin time of 13.5 seconds
2. jugular vein distention
3. tenting of the skin
4. increased central venous pressure
5. auscultation of crackles and wheezes
Correct Answer: 2,4,5
Jugular vein distention, increased central venous pressure, and crackles and wheezes indicate circulatory overload and pulmonary edema. The rate of infusion would be slowed and the physician notified. A prothrombin time of 13.5 seconds is within normal range. Tenting of the skin would indicate dehydration and the need for more fluid replacement.
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