A Patient Is Admitted to the Critical Care Unit Following

question 13

Multiple Choice

A patient is admitted to the critical care unit following coronary artery bypass surgery.Two hours postoperatively,the nurse assesses the following information: pulse is 120 beats/min; blood pressure is 70/50 mm Hg; pulmonary artery diastolic pressure is 2 mm Hg; cardiac output is 4 L/min; urine output is 250 mL/hr; chest drainage is 200 mL/hr.What is the best interpretation by the nurse?

• A) The assessed values are within normal limits.
• B) The patient is at risk for developing cardiogenic shock.
• C) The patient is at risk for developing fluid volume overload.
• D) The patient is at risk for developing hypovolemic shock.

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