A nurse is caring for a client who has dehydration. Which of the following findings should the nurse expect?
Explanation & Rationale
Dehydration occurs when fluid loss exceeds fluid intake, leading to a reduction in intravascular volume and impaired tissue perfusion. It can result from inadequate intake, excessive losses such as vomiting, diarrhea, or diuretic use, and is characterized by both clinical and hemodynamic changes. Nurses assess for signs of hypovolemia, including vital sign changes, skin turgor, and orthostatic effects. Early recognition is essential to prevent progression to hypovolemic shock. Rationale: A. Bradycardia is not typically associated with dehydration. Instead, the body compensates for reduced circulating volume by increasing heart rate to maintain cardiac output and tissue perfusion. A slow heart rate would be more suggestive of other conditions such as medication effects or conduction abnormalities. B. Postural hypotension is an expected finding in dehydration due to decreased intravascular volume. When the client changes position from lying to standing, there is insufficient fluid volume to maintain blood pressure, leading to dizziness or lightheadedness. This occurs because of impaired vascular compensation and reduced venous return. C. Peripheral edema is not associated with dehydration because it reflects fluid excess in the interstitial spaces. Dehydration causes fluid loss, leading instead to dry mucous membranes, poor skin turgor, and reduced tissue hydration. Edema is more commonly seen in conditions such as heart failure or renal disease. D. Distended neck veins indicate increased central venous pressure and fluid overload, not dehydration. In hypovolemic states, jugular veins are typically flat or collapsed due to reduced circulating volume. This finding would be inconsistent with dehydration and suggests an opposite fluid imbalance.