A nurse is monitoring a client who is admitted with severe hemorrhage from traumatic injury who is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Weight
Heart rate
Urine output
BP
The Correct Answer is B
A. Weight may fluctuate but is not a direct indication of immediate fluid resuscitation adequacy.
B. A decrease in heart rate is a sign of improved perfusion and stabilization, suggesting that fluid replacement is effective in compensating for blood loss.
C. Adequate fluid replacement is indicated by an increase, not a decrease, in urine output.
D. Blood pressure should stabilize or increase with fluid replacement, rather than decrease.
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Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
Fluid volume deficit: The client is taking furosemide, a diuretic, which can lead to increased urine output and dehydration. Additionally, the client reports frequent watery diarrhea, further increasing the risk of fluid loss.
Hypokalemia: Furosemide can cause potassium loss through increased urinary excretion. Diarrhea can also lead to potassium depletion, putting the client at an increased risk for hypokalemia.
Correct Answer is D
Explanation
A. Furosemide, a diuretic, is more likely to cause hypotension, not hypertension, due to fluid loss.
B. Furosemide is used to treat hypervolemia, so it does not cause hypervolemia.
C. Hypoglycemia is not a common adverse effect of furosemide; it primarily affects electrolytes.
D. Hypokalemia, or low potassium levels, is a common adverse effect of furosemide because it promotes potassium excretion in the urine.
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