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    RN Adult Medical Surgical 2023 Proctored Exam

    A nurse is caring for a client who has hypervolemia, which of the following is an expected assessment finding?

    Explanation & Rationale

    A. Weight gain: Weight gain is an expected finding in hypervolemia because excess fluid accumulates in the body, increasing overall body weight. Daily weight monitoring is a key indicator for assessing fluid status in clients at risk for volume overload. B. Bradycardia: Hypervolemia often increases cardiac workload, which can lead to tachycardia rather than bradycardia. A slow heart rate is not typically associated with fluid overload. C. Hypotension: Hypervolemia generally causes increased blood pressure due to the expanded intravascular volume. Hypotension is more commonly associated with hypovolemia or fluid loss. D. Loss of skin turgor: Loss of skin turgor is a sign of dehydration or fluid deficit, not hypervolemia. Clients with fluid overload may have edema, but their skin turgor is usually normal or may appear taut rather than decreased.

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