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    Hesi LPN Exit Proctored Exam

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    00110
    Hesi lpn exit proctored exam

    The practical nurse (PN) is assessing a client who received a large volume of IV fluids over a short period of time. Which finding (s) should the PN expect this client to exhibit? Select all that apply.

    Select all that apply

    Explanation

    A. Dependent edema: Fluid volume overload leads to increased hydrostatic pressure in capillaries, causing fluid to shift into the interstitial spaces, particularly in dependent areas like the legs, ankles, and sacrum. B. Inelastic skin turgor: Inelastic skin turgor is typically a sign of dehydration, not fluid overload. Overhydrated clients often have taut, stretched skin, not decreased elasticity. C. Complaints of thirst: Thirst is a compensatory mechanism for dehydration or hypernatremia, not for fluid overload. D. Tachycardia: Excess fluid increases the workload of the heart, which can lead to an increased heart rate as a compensatory mechanism. E. Moist lung sounds: Fluid volume overload can cause pulmonary congestion, leading to crackles or moist lung sounds due to fluid accumulation in the alveoli.

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