A patient being treated for acute gastrointestinal bleeding is receiving 0.9% normal saline at 200 mL/hour through two large-bore IVs. What assessment finding should the nurse report immediately to the physician?

Question

Quizplus · Accepted Answer

1. Crackles on auscultation of the lungs suggest fluid overload and should be immediately reported to the physician.
2. Urinary output of 50 mL/hour indicates the fluid volume resuscitation has been successful and that renal perfusion has been maintained.
3. A capillary refill of less than 2 seconds is a normal finding indicating adequate perfusion.
4. The presence of coffee ground emesis indicates slowed or stopped bleeding.

A Patient Being Treated for Acute Gastrointestinal Bleeding Is Receiving