Data collection findings for a patient include shortness of breath with crackles in the lung bases, jugular vein distention, daily weight increased by 3 pounds from yesterday, report of chest pain, blood pressure 86/40 mm Hg, pulse 132 beats/minute, and respirations 30/minute. Which order should the nurse question?

Question

Quizplus · Accepted Answer

The patient's symptoms suggest heart failure or fluid overload (e.g., shortness of breath with crackles, jugular vein distention, rapid weight gain). Administering 500 mL of normal saline quickly could exacerbate fluid overload and worsen the patient's condition.

Data Collection Findings for a Patient Include Shortness of Breath