Final answer:
Two anticipated nursing actions for fluid volume deficit are administering intravenous fluids and monitoring vital signs, particularly blood pressure. Expected outcomes include stabilization of blood pressure and alleviation of dehydration symptoms. The nurse also needs to be ready for potential blood loss and know about the general fluid absorption capacity of the lymphatic system.
Step-by-step explanation:
Based on the priority diagnosis of fluid volume deficit, two anticipated actions to be taken by the nurse might include administering intravenous fluids and monitoring vital signs closely.
For example, if a patient arrives with dangerously low blood pressure, such as a reading of 70/45, the nurse would quickly begin fluid replacement therapy to correct the deficit.
This could involve administering isotonic saline or another type of fluid recommended based on the patient's needs.
Two expected outcomes of care for someone with fluid volume deficit would be a stabilization of their blood pressure and an improvement in related symptoms such as confusion and thirst.
Monitoring of vital signs would allow the nurse to assess the effectiveness of the fluid therapy.
Correcting fluid volume deficit would lead to an increase in net filtration pressure, which is expected to move fluids back into the capillaries, countering the effects of dehydration.
The nurse would also be prepared for the possibility of blood loss and ensure that appropriate access and fluids are available, especially if there is risk of blood loss of at least 500 ml.
In terms of the body's general fluid balance, the capillaries of the lymphatic system play a significant role by absorbing about 20.4 liters of fluid in one day, according to available reference information.