The nurse assesses crackles in the lungs of a client with shock who is receiving IV therapy. The nurse recognizes this finding is indicative of:
A)
hypostatic pneumonia.
B)
hypovolemia.
C)
hypervolemia.
D)
renal failure.
C
Explanation:
A)
Crackles reflect a shift of excess fluid from the vascular space to interstitial spaces in the lung, indicating the client is receiving an excess of IV fluids.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
Crackles reflect a shift of excess fluid from the vascular space to interstitial spaces in the lung, indicating the client is receiving an excess of IV fluids.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
Crackles reflect a shift of excess fluid from the vascular space to interstitial spaces in the lung, indicating the client is receiving an excess of IV fluids.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
Crackles reflect a shift of excess fluid from the vascular space to interstitial spaces in the lung, indicating the client is receiving an excess of IV fluids.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
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