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A Patient Is Admitted to the Critical Care Unit Following

Question 13

Multiple Choice

A patient is admitted to the critical care unit following coronary artery bypass surgery.Two hours postoperatively,the nurse assesses the following information: pulse is 120 beats/min; blood pressure is 70/50 mm Hg; pulmonary artery diastolic pressure is 2 mm Hg; cardiac output is 4 L/min; urine output is 250 mL/hr; chest drainage is 200 mL/hr.What is the best interpretation by the nurse?


A) The assessed values are within normal limits.
B) The patient is at risk for developing cardiogenic shock.
C) The patient is at risk for developing fluid volume overload.
D) The patient is at risk for developing hypovolemic shock.

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