58) A 78-year-old client is admitted with dehydration and urinary tract infection. After IV infusion of 750 mL NS, the client begins to cough, and asks for the head of the bed to be raised to ease breathing. The nurse assesses jugular vein distention (JVD) and increased respiratory rate. The nurse interprets that:
A) The fluid volume deficit is worsening.
B) Hypervolemia is developing.
C) Hypotonic water intoxication is beginning.
D) Ascites is causing respiratory compromise.
ANSWER
A) The fluid volume deficit is worsening.
B) Hypervolemia is developing.
C) Hypotonic water intoxication is beginning.
D) Ascites is causing respiratory compromise.
ANSWER
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