Question

A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?

a. Urine output of 40 mL/hr.

b. Blood pressure 120/80 mm Hg.

c. Serum potassium level of 3.8 mEq/L.

d. Weight gain of 2 pounds since admission.

Answer 1

The nurse should report a weight gain of 2 pounds since admission for a client with hyperemesis gravidarum receiving IV fluid replacement, as it may indicate fluid overload.

Step-by-step explanation:

The nurse should report a weight gain of 2 pounds since admission to the provider when caring for a client with hyperemesis gravidarum who is receiving IV fluid replacement. Hyperemesis gravidarum is a condition characterized by severe nausea and vomiting during pregnancy that can lead to dehydration and nutritional deficiencies. IV fluid replacement is often necessary to maintain hydration and correct electrolyte imbalances.

A significant weight gain in a short period could indicate fluid overload, which can further complicate the patient's condition. This is especially the case in patients receiving IV fluids, as excessive fluids can lead to complications such as pulmonary edema or heart failure. It is important to closely monitor the patient's fluid balance to avoid these risks.