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.
A. Prolonged capillary refill
B. Lethargy
C. Urine output 15 mL/hr
D. Itchy skin
E. Blood pressure 98/50 mmHg
Answer:
A. Prolonged capillary refill
B. Lethargy
C. Urine output 15 mL/hr
E. Blood pressure 98/50 mmHg
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Which nursing problem has the highest priority for a client admitted to the cardiac care unit with this cardiac rhythm?
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