The nurse is evaluating assessment information gathered for…
The nurse is evaluating assessment information gathered for four assigned clients. Based on the electronic health records below, which client requires priority interventions for fluid volume excess? Client A Client B Client C Client D Medical Diagnosis COPD Renal failure Heart failure Abdominal aortic aneurysm surgical repair, post-op day 1 Physical Exam Crackles, 1+ edema, Dyspnea Crackles, no edema, No dyspnea Crackles, 1+ edema, Dyspnea Inspiratory crackles, 3+ edema, Dyspnea, cough Intake/Output 2250/1125 2250/200 2250/4250 6500/1000 Weight Up 2 lbs No change Down 3 lbs Up 10 lbs BUN (70-20 mg/dL) 15 mg/dL 25 mg/dL 15 mg/dL 20 mg/dL Hematocrit (41-50%) 46% 40% 32% 32%
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