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

A) Blood pressure 110/70 mm Hg
B) Blood urea nitrogen (BUN) 25 mg/dL
C) Urine output 120 mL/hour
D) Respiratory rate 18 breaths/minute

User Billaraw
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Final answer:

The finding to be reported for a patient with hyperthermia gravidarum receiving IV fluid replacement is the elevated BUN level of 25 mg/dL, as it may indicate renal stress or dehydration. Other reported values are within the normal range.

Step-by-step explanation:

A nurse caring for a client with hyperthermia gravidarum and receiving IV fluid replacement should closely monitor clinical parameters for abnormalities. In this scenario, the findings that are within normal or acceptable ranges are:

Blood pressure 110/70 mm Hg

Urine output 120 mL/hour

Respiratory rate 18 breaths/minute

These values generally indicate that the patient's vital signs are stable, and urine output is sufficient. However, a Blood urea nitrogen (BUN) level of 25 mg/dL is somewhat elevated and could be indicative of renal stress or dehydration. In the context of hyperthermia gravidarum, reporting changes in kidney function is crucial since high fever can lead to dehydration, which may impact kidney function. Therefore, the nurse should report the elevated BUN level to the healthcare provider as it could require further assessment and possible intervention. It is also relevant to note that hyperthermia gravidarum is not a standard medical term; the student may have intended to refer to hyperemesis gravidarum, which is a condition characterized by severe nausea and vomiting during pregnancy that can result in dehydration.

User Joe Savage
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