You have received report and are making your first rounds. You observe that your 87 year old female patient, in the hospital for exacerbation of congestive heart failure, has mistakenly received an infusion of 750 cc of normal saline. What will you look for in the next few hours?

Question

Quizplus · Accepted Answer

When a nurse observes that a patient in congestive heart failure has mistakenly received an infusion of 750cc of normal saline, the nurse should assess for signs and symptoms of fluid overload. Patients with congestive heart failure are at risk for fluid overload and will exhibit symptoms such as edema, "crackles" in the lungs and shortness of breath when they have taken in too much fluid.

You Have Received Report and Are Making Your First Rounds