Asked by Arianna Perez on Jun 22, 2024
Verified
The patient has recent bilateral, above-the-knee amputations and has developed C. difficile diarrhea. What assessments should the nurse use to detect ECV deficit in this patient? (Select all that apply.)
A) Test for skin tenting.
B) Measure rate and character of pulse.
C) Measure postural blood pressure and heart rate.
D) Check Trousseau's sign.
E) Observe for flatness of neck veins when upright.
F) Observe for flatness of neck veins when supine.
ECV Deficit
Extracellular Volume (ECV) Deficit is a medical condition where there is a reduction in the volume of fluid outside of cells, which can lead to dehydration and electrolyte imbalances.
Skin Tenting
A sign of dehydration that occurs when skin that is pinched and lifted takes some time to return to its normal position.
Trousseau's Sign
A clinical sign where inflation of a blood pressure cuff on the arm causes a carpal spasm, indicating hypocalcemia.
- Learn to determine hydration status and recognize symptoms of fluid or electrolyte imbalances in patients.
- Recognize the signs and symptoms of fluid overload and fluid deficit and understand their implications.
Verified Answer
Learning Objectives
- Learn to determine hydration status and recognize symptoms of fluid or electrolyte imbalances in patients.
- Recognize the signs and symptoms of fluid overload and fluid deficit and understand their implications.
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