NCLEX-PN

Category - Physiological Adaptation

A nurse is caring for a client with a CVP reading of 15 mm Hg. Which of the following physician orders should the nurse expect?
  1. Prepare the client for emergency surgery
  2. Infusion of 5% dextrose in normal saline
  3. Limit fluid intake to 1500 mL per day
  4. Increased intake of foods high in sodium
Explanation
Answer: C - A CVP reading of 15 mm Hg indicates fluid overload. Limiting the client’s fluid intake to 1500 mL per day and restricting the client’s sodium intake can help manage fluid overload. A hypotonic solution may help cause movement of water into the cells. Option B is a hypertonic solution. Surgery is not indicated.
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