An 85-year-old male who was hospitalized for a fractured hip develops difficulty breathing. The client has been receiving IV therapy for three days
When the nurse assesses the client, moist respirations are ausculated, a full bounding pulse and pedal edema are palpated and distended neck veins are noted. Based on the assessment, the nurse believes the most probable cause for the client's symptoms is:
a. fluid overload. c. fat embolus.
b. prolonged bed rest. d. inadequate diet.
ANS: A
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A Correct: This is a risk when administering IV fluids to the older adult.
B Incorrect: These are not the manifestations of prolonged bed rest.
C Incorrect: These are not manifestations of fat embolus.
D Incorrect: These are not manifestations of an inadequate diet.
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