The sibling of a patient who is nearing death has insisted on intravenous fluids because "My brother wants to live." Which findings should the nurse expect when assessing this patient?
Select all that apply.
1. The nurse notes the presence of inspiratory and expiratory crackles in all lung fields.
2. The nurse notes that there is increasing edema in the patient's ankles and feet bilaterally.
3. The patient has developed ascites.
4. The patient has lost 6 pounds from last week.
5. The nurse learns during shift report that the patient vomited three times during the night shift.
Correct Answer: 1,2,3,5
Initiating intravenous fluids for hydration purposes in the dying patient may increase fluid in the lungs, peripheral edema, ascites, and vomiting. The patient is much less likely to lose weight at this time.
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