A client is started on continuous venovenous hemofiltration (CWH), Which finding would require immediate action by the nurse?

Rationale: A. A sodium level of 138 mEq/L is within the normal range (135–145 mEq/L) and does not indicate a complication. B. A pulse rate of 88 beats/min is within the normal adult range (60–100 beats/min). C. A blood pressure of 76/58 mm Hg indicates hypotension, which is a serious complication of continuous venovenous hemofiltration (CVVH). Hypotension can result from excessive fluid removal or rapid ultrafiltration, leading to decreased perfusion of vital organs. This finding requires immediate nursing intervention, such as stopping or slowing ultrafiltration and notifying the provider. D. A potassium level of 5.5 mEq/L is slightly high but not immediately life-threatening compared to the risk posed by severe hypotension.