A client is experiencing a multisystem fluid volume deficit. The nurse notes that symptoms present include tachycardia; pale, cool skin; and decreased urine output. These signs are most likely a direct result of which of the following?

1. The body's natural compensatory mechanisms
2. Pharmacological effects of a diuretic
3. Effects of rapidly infused intravenous fluids
4. Cardiac failure


1. The body's natural compensatory mechanisms

Rationale:
The internal vasoconstrictive compensatory reactions within the body are responsible for the symptoms exhibited. The body naturally attempts to conserve fluid internally specifically for the brain and heart. A diuretic would cause further fluid loss, and is contraindicated. Rapidly infused intravenous fluids would not cause a decrease in urine output. The manifestations reported are not indicative of cardiac failure in this client.

Nursing

You might also like to view...

A patient is being prepared for impedance cardiography. Which information will the nurse provide?

1. "This technology will use ultrasound to measure your heart rate and blood flow." 2. "We are preparing to measure the oxygenation of your peripheral tissues." 3. "A catheter will be inserted into a vein in your neck." 4. "Electrodes will be placed on your neck and your lateral chest."

Nursing

During the auscultation of heart tones, you are uncertain whether the sound you hear is an S2 split. You should ask the patient to inhale deeply while listening at the ______ area

Fill in the blank(s) with correct word

Nursing

A specific nursing unit practices functional nursing. What was the basis for this concept?

A) individual patient care C) case management B) primary nursing D) industrial assembly line

Nursing

A nurse is assessing a neonate. Which assessment finding indicates that the neonate's respiratory status is worsening?

1. Acrocyanosis 2. Arterial CO2 of 40 3. Periorbital edema 4. Grunting respirations with nasal flaring

Nursing