The nurse assesses a client in the intensive care unit. Exhibits Which prescription should the nurse anticipate?

Rationale: A. Morphine is an analgesic and also used to reduce preload in heart failure by vasodilation. The client is not experiencing pain and does not have signs of acute pulmonary congestion; morphine would not address the primary issue and could further lower blood pressure. B. The client shows hypotension (BP 86/50), low CVP (2 mmHg), oliguria (15 mL/hr), and severe peripheral edema (+4). These findings indicate fluid overload in the interstitial space but intravascular volume depletion, a phenomenon known as third-spacing, which is common in critically ill patients. Administering hyperoncotic albumin will help pull fluid from the interstitial space back into the intravascular compartment, increasing circulating volume, improving perfusion, and supporting urine output. C. Nitroglycerin is a vasodilator used for angina or to reduce preload in heart failure. This client is hypotensive, so vasodilation would worsen perfusion. Nitroglycerin is contraindicated in hypotensive patients. D. While furosemide is a diuretic for fluid overload, administering it to a client who is hypotensive and intravascularly depleted could worsen hypotension and kidney perfusion. The priority is to restore intravascular volume before diuresis.