Asked by Latoya Scott on Jun 06, 2024

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The nurse is assessing a patient and finds crackles in the lung bases and neck vein distention. Which action will the nurse take first?

A) Offer calcium-rich foods.
B) Administer diuretic.
C) Raise head of bed.
D) Increase fluids.

Crackles

A type of abnormal lung sound heard through a stethoscope, often resembling the sound of hair being rubbed together, indicative of fluid in the air spaces.

Neck Vein Distention

The swelling or protruding of neck veins, often indicative of increased venous pressure or heart conditions.

Diuretic

A type of medication or substance that promotes the production and excretion of urine, often used to treat high blood pressure and fluid retention.

  • Prioritize the care of patients based on the severity of their conditions and exhibited symptoms.
  • Implement comprehension of fluid compartmentalization in the evaluation and management of dehydration and fluid surplus scenarios.
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Verified Answer

BJ
Bryana JanelleJun 13, 2024
Final Answer :
C
Explanation :
The patient is in fluid overload. Raising the head of the bed to ease breathing is the first action. Offering calcium-rich foods is for hypocalcemia, not fluid overload. Administering a diuretic is the second action. Increasing fluids is contraindicated and would make the situation worse.