CCRN Critical Care Nursing

Answer: B - When a nurse observes that a patient in congestive heart failure has mistakenly received an infusion of 750cc of normal saline, the nurse should assess for signs and symptoms of fluid overload. Patients with congestive heart failure are at risk for fluid overload and will exhibit symptoms such as edema, “crackles” in the lungs and shortness of breath when they have taken in too much fluid.