Question

A nurse is assessing a client who is undergoing hemodynamic monitoring. The client has a CVP of 7 mm Hg and a PAWP of 17 mm Hg. Which of the following findings should the nurse expect? (Select all that apply.)

A. Poor skin turgor
B. Bilateral crackle sin the lungs
C. JVD
D. Dry mucous membranes
E. Hepatomegaly

Answer 1

The nurse should expect to find Bilateral crackles in lungs and Hepatomegaly in a patient with a CVP of 7 mm Hg and PAWP of 17 mm Hg, as these findings suggest fluid overload and left-sided heart failure. So, correct option is B and E.

Step-by-step explanation:

A nurse assessing a client with a Central Venous Pressure (CVP) of 7 mm Hg and a Pulmonary Artery Wedge Pressure (PAWP) of 17 mm Hg should expect certain clinical findings that are indicative of the hemodynamic status of the patient. A CVP of 7 mm Hg is within normal range (2-8 mm Hg) and does not suggest any specific abnormality, but a PAWP of 17 mm Hg is elevated, suggesting left-sided heart failure or fluid overload as normal values range from 6-12 mm Hg.

Given these hemodynamic measurements, the client may exhibit signs and symptoms of fluid overload such as Bilateral crackles in the lungs due to pulmonary edema, and Hepatomegaly (an enlarged liver) due to systemic venous congestion. Hence, the following findings should be expected:

• B. Bilateral crackles in the lungs
• E. Hepatomegaly

Findings such as Poor skin turgor and Dry mucous membranes are more indicative of dehydration rather than fluid overload and would not be expected findings in this scenario. Likewise, Jugular Venous Distension (JVD) would be expected with an elevated CVP, not within a normal range.