The nursing intervention that should be a priority when an older adult client gets diagnosed with end-stage renal disease (ESRD) and has fluid volume excess is: assessing the client's lung sounds.
ESRD is a chronic kidney disease resulting in kidney failure. This is a gradual loss of the functioning of kidney that cannot be restored. The only solution to this disease is long-term dialysis on a regular basis or kidney transplant.
Lung sounds are of different types depending upon the condition of a person lungs. Listening to this sound, also called auscultation is necessary to assess the right medical condition. The sounds related to fluid overload in lungs are grunting, gurgling, or wheezing.
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Put on your flashers. Set out reflective triangles to warn other traffic. Make sure other drivers can see them in time, especially on a curve to avoid another accident. Stop traffic by blocking the remaining half of road until police arrive to direct traffic to one single lane.
The answer is A - fast.
Tachycardia means “fast” heart rate.
Tachycardia: fast heart rhythm (greater than 100 beats per minute).
