While caring for a patient with a small bowel obstruction,the nurse assesses a pulmonary artery occlusion pressure (PAOP)of 1 mm Hg and hourly urine output of 5 mL.The nurse anticipates which therapeutic intervention?
A) Diuretics
B) Intravenous fluids
C) Negative inotropic agents
D) Vasopressors

Question

Quizplus · Accepted Answer

Low pulmonary artery occlusion pressures usually indicate volume depletion,so intravenous fluids would be indicated.A normal hourly urine output is 1 mL/kg or at least 30 mL/hour,so this is another indication that the patient is volume depleted.Administration of diuretics would worsen the patient's volume status.Negative inotropes would not improve the patient's volume status.Vasopressors will increase blood pressure but are contraindicated in a low volume state.

While Caring for a Patient with a Small Bowel Obstruction,the