A client was admitted to the intensive care unit after having an abdominal aortic aneurism resection. The client's cardiac monitor shows a heart rate of 110. The clients hemodynamic monitoring shows a central venous pressure (CVP): 1 mmHg and a pulmonary Arterial Wedge Pressure (PAWP): 3 mmHg. Which health care provider order would the nurse anticipate receiving?

A. Decrease IV Fluids to 75 mL/hr and recheck hemodynamic parameters: Decreasing IV fluids in a client with hypotension and low preload (CVP 1 mmHg, PAWP 3 mmHg) would worsen hypovolemia and decrease cardiac output further. Reducing fluid administration is inappropriate because the client shows signs of volume depletion and intravascular hypovolemia. B. Administer furosemide (Lasix) 20 mg IVP: Furosemide is a loop diuretic used to reduce fluid overload. Administering it to a client with low CVP and PAWP could precipitate severe hypotension, decrease perfusion to vital organs, and exacerbate postoperative shock. This intervention is contraindicated in low preload and tachycardia due to volume depletion. C. Administer 0.9% Normal Saline @ 150 mL/hr: The client’s low CVP (1 mmHg), low PAWP (3 mmHg), and tachycardia (HR 110) indicate hypovolemia or inadequate circulating volume after abdominal aortic aneurysm surgery. Administering isotonic saline helps restore intravascular volume, improve preload, and optimize cardiac output, making this appropriate. D. Monitor hemodynamic monitoring parameters again in one hour: Continuous monitoring is essential, but solely waiting without intervening would delay treatment for hypovolemia. Immediate volume replacement takes priority over passive monitoring to prevent hypotension-related complications, organ hypoperfusion, and shock.