A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect?

A.

A. Justice refers to fairness and equity in the distribution of resources and the treatment of

individuals. By spending an equal amount of time with each client regardless of their background or actions, the nurse is demonstrating the principle of justice.

B. Autonomy refers to respecting the right of individuals to make their own decisions about their healthcare. While important, it does not directly relate to the nurse's equal allocation of time.

C. Nonmaleficence refers to the duty to do no harm. While relevant to nursing care, it does not directly apply to the equal distribution of time among clients.

D. Veracity refers to truthfulness and honesty in communication. While important, it does not directly relate to the allocation of time among clients.

A. Diminished bowel sounds are not typically indicative of fluid overload. They may suggest decreased gastrointestinal motility, but this finding alone does not specifically indicate fluid overload.

B. Bradycardia is not typically associated with fluid overload. Instead, tachycardia may occur as the body attempts to compensate for decreased cardiac output.

C. Hypotension may occur with fluid overload in severe cases, but it is not a consistent or specific finding. Other signs, such as bounding pulses, are more indicative of fluid overload.

D. Bounding pulses, or strong and forceful arterial pulses, can be a sign of fluid overload due to increased blood volume. This finding may be observed in clients receiving excessive enteral feedings or intravenous fluids.