The nurse is caring for a client who had undergone a Whipple procedure 2 days previously. The nurse notes that the client's hands and feet are edematous, and urine output has decreased from the previous day
Which intervention does the nurse expect to provide for the client? a. Increase the client's IV fluid infusion rate.
b. Monitor the client's blood sugar level every 4 hours.
c. Add colloids to the client's IV solutions.
d. Reinsert the client's nasogastric (NG) tube.
C
Edema and low urine output following the Whipple procedure most likely are caused by hy-poalbuminemia. Low albumin leads to third spacing of fluids and decreased intravascular fluids. As a result, edema and low urine output develop. Adding a colloid solution to the client's IV re-gimen will help shift edematous fluid from the interstitial space back into the intravascular space. Increasing the client's IV infusion rate will worsen the edema unless additional protein is added. Blood glucose monitoring and NG tubes are not related to this problem.
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