The nurse is caring for an elderly client who has been receiving intravenous fluids at 175 mL/hr. The nurse assesses that the client has crackles, shortness of breath, and distended neck veins
The nurse would recognize these findings as indicating which complication of IV fluid therapy? 1. An allergic reaction to the antibiotics in the fluid
2. Fluid volume excess
3. Pulmonary embolism
4. Speed shock
2. Fluid volume excess
Rationale:
Fluid volume excess may occur if clients, especially the very young or old, receive IV fluid rapidly. The findings given in this scenario do not support the other options.
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