A nurse suspects that a client receiving an oxytocic drug is developing water intoxication based on assessment of which of the following? Select all that apply
A) Tachypnea
B) Wheezing
C) Confusion
D) Hypoglycemia
E) Hypotension
Ans: A, B, C
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The nurse immediately reports any signs of water intoxication or fluid overload, which include drowsiness, confusion, headache, listlessness, wheezing, coughing, and tachypnea, to the physician.
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