The nurse is caring for a client who is receiving intravenous fluids postoperatively following cardiac surgery. The nurse is aware that this client is at risk for fluid volume excess. The family asks why the client is at risk for this condition
Which response by the nurse is the most appropriate?
A) "Fluid volume excess is caused by new onset liver failure caused by the surgery."
B) "Fluid volume excess is caused by the intravenous fluids."
C) "Fluid volume excess is common due to increased levels of antidiuretic hormone in response to the stress of surgery."
D) "Fluid volume excess is caused by inactivity."
Answer: C
Antidiuretic hormone (ADH) and aldosterone levels are commonly increased following the stress response before, during, and immediately after surgery. This increase leads to sodium and water retention. Adding more fluids intravenously can cause a fluid volume excess and stress upon the heart and circulatory system. A fluid volume deficit would not occur with the administration of intravenous fluids. Liver failure is not caused by the surgery. Fluid volume excess is not caused by inactivity.
You might also like to view...
A 66-year-old man has presented to the emergency department with complaints of crushing chest pain. Consequently, an electrocardiogram (ECG) has been ordered stat
Which of the following actions should the nurse prioritize when facilitating this diagnostic test? A) Providing patient education around the role of an ECG B) Providing reassurance to the patient's accompanying family members C) Landmarking and placing the ECG electrodes accurately D) Assisting the patient into a prone position to facilitate the ECG
A client with cirrhosis has portal hypertension, which is causing esophageal varices. What is the goal of the interventions that the nurse will provide?
A) Cure the cirrhosis. B) Treat the esophageal varices. C) Reduce fluid accumulation and venous pressure. D) Promote optimal neurologic function.
The best time to administer antimalarial medications is immediately before or after meals
Indicate whether the statement is true or false.
A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which intervention?
a. Screening b. Referral and follow-up c. Surveillance d. Health teaching