NursingPlex
    Sign In
    Ati nur 112 fundamentals ngn proctored quiz
    Select All That Apply

    A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

    Explanation & Rationale

    A. Increased heart rate: Tachycardia occurs as a compensatory mechanism in fluid overload due to the heart working harder to circulate the excess volume. The increased preload stretches the myocardial fibers, triggering a higher heart rate to maintain effective perfusion. B. Increased blood pressure: Excess fluid volume raises intravascular pressure, leading to hypertension. The increased circulating volume causes elevated preload and afterload, resulting in increased cardiac output and higher blood pressure readings. C. Increased respiratory rate: Fluid overload can lead to pulmonary congestion or edema, impairing gas exchange. The body compensates by increasing the respiratory rate to improve oxygenation and reduce carbon dioxide levels, especially if dyspnea is present. D. Increased hematocrit: Hematocrit levels typically decrease in fluid overload due to hemodilution. The plasma volume expands relative to red blood cell concentration, leading to a dilutional effect that lowers hematocrit levels. E. Increased temperature: Fever is not a typical finding in fluid overload and is more indicative of infection or inflammation. In fluid overload, temperature generally remains within normal limits unless an underlying infectious process is also present.

    🔒 Submit your answer to reveal