A nurse is caring for a client who has heart failure. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk of developing dropdownanddropdown.
Explanation & Rationale
Rationale for Correct Answers: Fluid volume deficit: High-dose IV diuretics are causing excess fluid loss. Clinical evidence: increased urination, light-headedness, mild fatigue, and improved crackles suggest effective diuresis but also risk of hypovolemia. Signs of fluid volume deficit include hypotension, tachycardia, dizziness, and orthostatic symptoms. Dysrhythmias: The client’s potassium is 3.3 mEq/L (hypokalemia). Hypokalemia increases the risk of life-threatening dysrhythmias, especially in patients with underlying heart disease. Diuretic-induced electrolyte imbalances are a common cause. Rationale for Incorrect Answers: Respiratory distress: Client’s lungs have improved (crackles only at bases), and oxygen saturation is stable at 95%. Not an immediate risk at this time. Acute kidney injury (AKI): BUN and creatinine are within normal limits. Although aggressive diuresis can eventually contribute to AKI, current labs do not indicate AKI, so this is not the most immediate risk.