Question

A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

A.Blood pressure
B.Prescribed medications
C.Oxygen saturation
D.BUN

Answer 1

Blood pressure and BUN levels are critical indicators that could suggest the need for re-evaluation of IV fluid therapy in an older adult client. These parameters indicate the patient's hydration status and perfusion, which are key considerations during fluid therapy management.

Step-by-step explanation:

A nurse reviewing the medical record of an older adult client who is receiving IV fluid therapy should be alert to signs that suggest the client needs re-evaluation of their IV therapy prescription. Certain client information might indicate that the current IV therapy is not meeting the patient's needs or could be causing harm. Blood pressure, specifically, is a critical vital sign that can reflect a patient's volume status and perfusion. A significant change in blood pressure, whether an increase or a decrease, can indicate complications such as fluid overload or dehydration.

In the context of IV fluid therapy, a drop in blood pressure could suggest that the patient is not receiving adequate volumes or is experiencing a complication like sepsis which may require medical intervention such as a change in the rate or type of fluids being administered. Blood Urea Nitrogen (BUN) levels are another important indicator of patient status, particularly with respect to renal function and hydration status. High BUN levels can suggest dehydration or renal impairment, warranting a re-evaluation of fluid therapy.