A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tube. The nurse should identify that which of the following findings indicates fluid overload?

A. Diminished bowel sounds: Diminished bowel sounds indicate decreased gastrointestinal motility or possible ileus, but they are not a sign of fluid overload. This finding is unrelated to the client’s fluid status. B. Bradycardia: Bradycardia refers to a slow heart rate, which is more often associated with conduction abnormalities, medications, or vagal stimulation. It does not typically indicate fluid overload. C. Hypotension: Hypotension usually reflects fluid deficit, blood loss, or cardiovascular compromise. Fluid overload is more likely to cause hypertension rather than low blood pressure. D. Bounding pulses: Bounding pulses are a classic cardiovascular manifestation of fluid overload. Excess intravascular volume increases stroke volume and arterial pressure, resulting in strong, forceful pulses, making this an important sign for the nurse to recognize.