You are precepting a new graduate nurse in the ICU. The two of you are caring for a patient who is receiving large volumes of crystalloid fluid as a result of shock. What would you teach the new nurse to monitor the patient for symptoms of?
A) Hypothermia
B) Bradycardia
C) Coffee ground emesis
D) Pain
Ans: A
Feedback: Temperature should be monitored closely to ensure that rapid fluid resuscitation does not precipitate hypothermia. Intravenous fluids may need to be warmed during the administration of large volumes. Option B is incorrect; the nurse should monitor the patient for cardiovascular overload and pulmonary edema when large volumes of intravenous solution are administered. Option C is incorrect; coffee ground emesis is an indication of a gastrointestinal bleed, not shock. Option D is incorrect; pain is related to cardiogenic shock.
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