Difficulty: Medium
Average Score: 90%
Simulated
A nurse is assessing a client who is having fluid volume overload. Which finding should the nurse expect for this client?
Correct answer
A
Rationale
Correct Answer: A - Edema
Rationale:
1. Fluid volume overload leads to excess fluid in the interstitial spaces, causing edema.
2. Edema is a classic symptom of fluid volume overload.
3. Oliguria, hypotension, and hyperthermia are not specific to fluid volume overload.
4. Oliguria may occur due to decreased renal perfusion, hypotension is more indicative of hypovolemia, and hyperthermia may suggest infection or hypermetabolic state.
Rationale:
1. Fluid volume overload leads to excess fluid in the interstitial spaces, causing edema.
2. Edema is a classic symptom of fluid volume overload.
3. Oliguria, hypotension, and hyperthermia are not specific to fluid volume overload.
4. Oliguria may occur due to decreased renal perfusion, hypotension is more indicative of hypovolemia, and hyperthermia may suggest infection or hypermetabolic state.