A patient has been diagnosed with an increase in afterload and a CVP reading of 7 mmHg. What should the nurse include in this patient's plan of care?
1. Provide plasma.
2. Provide intravenous fluids.
3. Provide diuretic therapy as prescribed.
4. Encourage an increase in fluids by mouth.
3
Rationale 1: Plasma might be indicated for a patient who is diagnosed with a decrease in preload and hypovolemia.
Rationale 2: Intravenous fluids might be indicated for a patient who is diagnosed with a decrease in preload and hypovolemia.
Rationale 3: Excessive preload is evidenced by a CVP reading of greater than 6 mmHg. 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.
Rationale 4: Oral fluids might be indicated for a patient who is diagnosed with a decrease in preload and hypovolemia.
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