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Anastasia26 Anastasia26
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6 years ago
The nurse is assessing a patient and finds crackles in the lung bases and neck vein distention. Which action will the nurse take first?
 
  a. Offer calcium-rich foods.
  b. Administer diuretic.
  c. Raise head of bed.
  d. Increase fluids.
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wrote...
6 years ago
ANS: C
The patient is in fluid overload. Raising the head of the bed to ease breathing is the first action. Offering calcium-rich foods is for hypocalcemia, not fluid overload. Administering a diuretic is the second action. Increasing fluids is contraindicated and would make the situation worse.
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