A patient receiving intravenous fluids after surgery develops increasing breathlessness, bilateral crackles and a rapid rise in blood pressure. Which action should the nurse take first?
Correct answer: C. Stop or slow the infusion as prescribed and assess breathing
- A. Increase the infusion rate
- B. Place the patient flat in bed
- C. Stop or slow the infusion as prescribed and assess breathing
- D. Offer extra oral fluids
Explanation
The findings suggest fluid overload with impaired breathing, so the nurse should address breathing and prevent further fluid administration while obtaining help according to local policy. Lying flat and giving more fluid can worsen pulmonary congestion.
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About Perioperative Nursing
Covers preoperative assessment, informed consent, surgical preparation, anaesthesia, intraoperative safety and postoperative recovery. It includes sterile technique, surgical positioning, wound and drain care, pain and nausea management, fluid balance, prevention of infection and recognition of complications such as haemorrhage, atelectasis and shock.
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