The nurse is caring for the client experiencing hypovolemic shock and metabolic acidosis. Which therapies would the nurse question if planned for this client?
Select all that apply.
A) Monitor weight on admission and discharge.
B) Monitor ECG for conduction problems.
C) Limit the intake of fluids.
D) Administer sodium bicarbonate.
E) Keep the bed in the locked and low position.
Answer: A, C
The treatment for hypovolemic shock would include the administration of fluids, not limiting fluids. Patients being treated for hypovolemia will require daily weights, not a weight on admission and then discharge. Administering sodium bicarbonate and monitoring ECGs are appropriate for the client with shock. The client recovering from hypovolemic shock is at risk for injury, so the bed should be kept in the locked and low position.
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