A patient experiencing multisystem fluid volume deficit has tachycardia and decreased urine output. The nurse realizes these findings are most likely a direct result of which factor?
1. The body's natural compensatory mechanisms
2. Pharmacologic effects of a diuretic
3. Effects of rapidly infused intravenous fluids
4. Cardiac failure
1
Rationale 1: The body's vasoconstrictive compensatory reactions are responsible for the symptoms. The body naturally attempts to conserve fluid internally specifically for the brain and heart.
Rationale 2: A diuretic would cause further fluid loss and is contraindicated.
Rationale 3: Rapidly infused intravenous fluids would not cause a decrease in urine output.
Rationale 4: The manifestations reported are not indicative of cardiac failure in this patient.
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