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Fluid, Electrolyte, and Acid-Base Balance
Fluid, Electrolyte, and Acid-Base Balance ( 5 Questions)
A nurse is caring for a client who has fluid overload due to heart failure. Which of the following clinical manifestations should the nurse expect to find in the client?
Dry mucous membranes are a sign of dehydration, not fluid overload.
Decreased urine output is a sign of renal failure or dehydration, not fluid overload.
Crackles in the lungs are a sign of pulmonary edema, which is a common complication of fluid overload due to heart failure. The excess fluid in the alveoli causes crackling sounds when the client breathes.
Hypotension is a sign of hypovolemia or shock, not fluid overload. Fluid overload usually causes hypertension due to increased blood volume and cardiac workload.
Choice A reason:
Dry mucous membranes are a sign of dehydration, not fluid overload.
Choice B reason:
Decreased urine output is a sign of renal failure or dehydration, not fluid overload.
Choice C reason:
Crackles in the lungs are a sign of pulmonary edema, which is a common complication of fluid overload due to heart failure. The excess fluid in the alveoli causes crackling sounds when the client breathes.
Choice D reason:
Hypotension is a sign of hypovolemia or shock, not fluid overload. Fluid overload usually causes hypertension due to increased blood volume and cardiac workload.