A patient receiving a large volume of IV fluid gains weight rapidly and develops new ankle oedema, but has no breathlessness. Which finding should the nurse report?
Correct answer: B. New dependent oedema
- A. Improved appetite
- B. New dependent oedema
- C. Warm hands bilaterally
- D. Urine that is pale yellow
Explanation
New dependent oedema with rapid weight gain can be an early sign of excess fluid retention. Breathlessness and crackles indicate more advanced pulmonary involvement, so the absence of those signs does not make the change harmless.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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