A patient being treated for a gastrointestinal bleed has the following assessment findings: temperature 97.2°F, blood pressure 99/70 mm Hg, heart rate 74 bpm, capillary refill of 3 seconds, and oxygen saturation 94%. Four hours later, the nurse identifies changes in the patient's condition. Which change is associated with complications from management of the condition? Select all that apply.

Question

Quizplus · Accepted Answer

1. This temperature is within normal limits.
2. Tachycardia is a manifestation of fluid overload.
3. Oxygen desaturation is a manifestation of fluid overload.
4. This capillary refill is within normal limits.
5. Abnormal lung sounds are a manifestation of fluid overload.

A Patient Being Treated for a Gastrointestinal Bleed Has the Following