A patient was admitted to the surgical unit after surgical removal of an abdominal tumor. As the nurse performs a postsurgical assessment, the patient's blood pressure is 90/54, heart rate is 94, and respiratory rate is 22

Based on these values, the nurse should be most concerned with which of the following conditions? a. Hypovolemia
b. Left-sided heart failure
c. Right-sided heart failure
d. Hypervolemia


A
Hypovolemia is a reduced circulating blood volume resulting from extracellular fluid losses that occurs in conditions such as shock and severe dehydration. If the fluid loss is significant, the body tries to adapt by increasing the heart rate and constricting peripheral vessels to increase the volume of blood returned to the heart and increase the cardiac output. The patient is experiencing shock (low blood pressure, increased pulse and respirations). Left-sided heart failure is characterized by impaired functioning of the left ventricle. This is usually caused by increased preload (fluid volume overload) or afterload (increased systemic vascular resistance such as hypertension). Right-sided heart failure results from impaired functioning of the right ventricle, which is typically caused by pulmonary disease or pulmonary hypertension. Fluid volume overload or hypervolemia may lead to vascular congestion in patients with heart, kidney, or lung diseases. The patient has lost fluid, not gained fluid.

Nursing

You might also like to view...

The pediatric nurse is caring for a child recently diagnosed with transient synovitis of the hip. Which medication order is most appropriate for this child?

A. Acetaminophen (Tylenol) 10-15 mg/kg every 4 hours B. Ibuprofen (Motrin) 30-50 mg/kg/day in 3-4 divided doses C. Naproxen (Aleve) 20-30 mg/kg/dose every 4 hours D. Prednisone (Deltasone) 0.1-2 mg/kg/day in 1-4 divided doses

Nursing

The nurse is caring for a patient with acute glomerulonephritis. Upon assessment of the patient's urine, the nurse may expect the urine to:

A) Have a cola-color B) Have fibrinous threads C) Contain renal calculi D) Be copious in amount

Nursing

Nutrient-based solutions, such as Pedialyte, are used in which of the following types of therapies?

A. percutaneous rehydration therapy B. IV rehydration therapy C. parenteral rehydration therapy D. oral rehydration therapy

Nursing

Which of the following statements is true of drug nomenclature?

A. The nonproprietary name of a drug is usually a contraction of its chemical name. B. The name under which a drug is marketed is known as its nonproprietary name. C. A drug can have several different generic names. D. The proprietary name of a drug is more commonly referred to as the generic name.

Nursing