The nurse gathers the following data: BP = 150/94 mm Hg; neck veins distended; P = 104 beats/min; pulse bounding; respiratory rate = 20 breaths/min; T = 37°C (98.6°F).What disorder should the nurse suspect?
A) Hypovolemia
B) Hypercalcemia
C) Hyperkalemia
D) Hypervolemia

Question

Quizplus · Accepted Answer

The data indicates fluid overload, as evidenced by the elevated blood pressure, distended neck veins, bounding pulse, and normal respiratory rate and temperature. Hypovolemia would result in lower blood pressure and higher heart and respiratory rates. Hypercalcemia and hyperkalemia would not typically present with these specific symptoms.

The Nurse Gathers the Following Data: BP = 150/94 Mm