A patient is being treated for an acute hypersensitivity reaction. Which assessment findings indicate that the patient is developing an alteration in cardiac output?
Select all that apply.
1. Lethargy
2. Itchy skin
3. Urine output 15 mL/hr
4. Prolonged capillary refill
5. Blood pressure 98/50 mmHg
Correct Answer: 1, 3, 4, 5
A change in level of consciousness (lethargy, apprehension, or agitation) is often the first indicator of decreased cardiac output. As cardiac output drops, peripheral vessels constrict and tissue perfusion is impaired. The glomerular filtration rate (GFR) also falls; with an output of less than 30 mL/h, the patient is at risk for acute kidney injury from ischemia. A fall in blood pressure may indicate shock. Pruritus is not an indication of an alteration in cardiac output.
You might also like to view...
Which of the following is the technique most often used for evaluating the neurologic system?
a. Auscultation b. Inspection c. Palpation d. Percussion
The person with chewing difficulties usually avoids:
a. A high-fiber diet b. Whole grain cereal c. Cooked fruits and vegetables d. Ground or chopped food
A patient has chest tubes. You are assisting the nurse with the person's care. You need to do which of the following?
a. Turn and reposition the person according to the care plan. b. Remove the chest tube when ordered. c. Change the dressing around the chest tub. d. Empty the bottles at the end of your shift.
Which of the following are conduct domain theories?
a. Utilitarianism b. Duty-based c. Virtue-based d. Altruism