While caring for a newly admitted patient with fluid and electrolyte imbalances, a nurse would be most concerned by which of the following?
A) Urinary output of 300 mL in 8 hours
B) Blood pressure of 128/60 mm Hg
C) Lung fields with crackles noted bilaterally
D) Nausea

Question

Quizplus · Accepted Answer

Lung fields with crackles noted bilaterally indicate fluid in the lungs, which can lead to respiratory distress and compromise the patient's breathing. This is a more urgent concern than the other options presented. A urinary output of 300 mL in 8 hours and a blood pressure of 128/60 mm Hg are both normal or within acceptable ranges. Nausea is a common symptom and can be addressed with medication if necessary.

While Caring for a Newly Admitted Patient with Fluid and Electrolyte