The nurse is caring for a client with acute gastrointestinal (GI) bleeding who is receiving normal saline IV at a rate of 500 mL/hour. Which of the following findings obtained by the nurse is most important to communicate immediately to the health careprovider?

Question

Quizplus · Accepted Answer

The client's lung sounds indicate that pulmonary edema may be developing as a result of the rapid infusion of IV fluid and that the fluid infusion rate should be slowed. The return of coffee-ground material in an NG tube is expected for a client with upper GI bleeding. The BP is slightly elevated but would not be an indication to contact the health care provider immediately. Hyperactive bowel sounds are common when a client has GI bleeding.

The Nurse Is Caring for a Client with Acute Gastrointestinal