A patient in hypovolemic shock is receiving an intravenous colloid solution (plasma expander). Which assessment finding indicates to the nurse that the infusion rate should be reduced? Select all that apply.
A. Increased central venous pressure
B. Tenting of the skin
C. Auscultation of crackles and wheezes
D. Prothrombin time of 13.5 seconds
E. Jugular vein distention
Answer: E
You might also like to view...
In planning care for a client with negative thinking, the nurse would intervene by teaching the client to:
1. Identify and reframe negative thoughts. 2. Discuss personal worthlessness with all unit peers. 3. Make a list of things the client does poorly. 4. Avoid unit activities until the client desires to participate.
A client has returned from an open cholecystectomy. The nurse places the highest priority on which intervention?
a. Coughing and deep breathing b. Early ambulation c. Wearing anti-embolic hose d. Use of a nasogastric tube
A nurse is teaching a client about ways to avoid hypocalcemia. Dietary recommendations indicate that vitamin _____ is necessary for calcium absorption
a. A b. B c. D d. E
A client is admitted to the emergency department for an infection. The nurse recognizes that host factors that play a role in the selection of anti-infective therapy include:
Standard Text: Select all that apply. 1. status of immune system. 2. location of the infection. 3. history of allergic reactions. 4. previous infections. 5. results of culture and sensitivity (C&S).