A nurse in the PACU is administering an IV fluid bolus to an unconscious patient whose urine output has been less than 10 mL per hour for the last 2 hours. Which findings would indicate that this patient is having an adverse reaction to this treatment?. Select all that apply.

Question

Quizplus · Accepted Answer

A) The development of crackles in the bilateral lung bases can indicate fluid overload, a potential adverse reaction to an IV fluid bolus, especially in a patient who was previously oliguric. B) An increase in respiratory rate and depth may be a compensatory mechanism for fluid overload or acute respiratory distress, indicating an adverse reaction to the fluid bolus.

A Nurse in the PACU Is Administering an IV Fluid