Case studies and Quiz Questions Flashcards

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1
Q

A 62 year old client with coronary artery disease is receiving D5 1/2 NS at 150 mL/hour after surgery.
The client reports trouble breathing and sits up in bed and coughs up clear mucus.

What is the priority nursing action?

What are the follow-up actions?

A

To stop the fluids and reduct them to a “Keep vein open” rate of 10-20 ml and hour

Sit the pt up

give emergency o2

Assess lungs

Call MD

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