The nurse on a medical-surgical unit completes the shift assessment for a client diagnosed with a multisystem fluid volume deficit. In the assessment, the nurse documents that the client is experiencing tachycardia, decreased urine output, and pale, cool skin. Based on this information, which should the nurse anticipate as the cause of the client's current symptoms?
A)Natural compensatory mechanisms
B)Cardiac failure
C)Pharmacological effects of a diuretic
D)Rapidly infused intravenous fluids

Question

Quizplus · Accepted Answer

A)Vasoconstrictive compensatory reactions within the body are responsible for the symptoms exhibited. The body naturally attempts to conserve fluid internally to protect the brain and heart. A diuretic would cause further fluid loss and is contraindicated. Rapidly infused intravenous fluids would not cause a decrease in urine output. Also, the manifestations reported are not indicative of cardiac failure in this client.
B)Vasoconstrictive compensatory reactions within the body are responsible for the symptoms exhibited. The body naturally attempts to conserve fluid internally to protect the brain and heart. A diuretic would cause further fluid loss and is contraindicated. Rapidly infused intravenous fluids would not cause a decrease in urine output. Also, the manifestations reported are not indicative of cardiac failure in this client.
C)Vasoconstrictive compensatory reactions within the body are responsible for the symptoms exhibited. The body naturally attempts to conserve fluid internally to protect the brain and heart. A diuretic would cause further fluid loss and is contraindicated. Rapidly infused intravenous fluids would not cause a decrease in urine output. Also, the manifestations reported are not indicative of cardiac failure in this client.
D)Vasoconstrictive compensatory reactions within the body are responsible for the symptoms exhibited. The body naturally attempts to conserve fluid internally to protect the brain and heart. A diuretic would cause further fluid loss and is contraindicated. Rapidly infused intravenous fluids would not cause a decrease in urine output. Also, the manifestations reported are not indicative of cardiac failure in this client.

The Nurse on a Medical-Surgical Unit Completes the Shift Assessment