A patient with a right subclavian triple lumen catheter has a CVP reading of 18 mm Hg. The nurse would further assess the patient for symptoms of:
1. Peripheral edema and jugular vein distention
2. Decreased peripheral pulses and cool extremities
3. Hypovolemia and hypotension
4. Orbital edema and disorientation
1
Rationale 1: An elevated CVP indicates hypervolemia and/or right ventricular failure because it is a direct measurement of pressure in the right side of the heart. This is manifested by jugular vein distention and peripheral edema.
Rationale 2: These are not symptoms associated with hypervolemia or right ventricular failure.
Rationale 3: An elevated CVP would not occur with hypovolemia or hypotension.
Rationale 4: These are not symptoms associated with hypervolemia or right ventricular failure.
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