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    Ati 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

    Rationale: A. Weight gain: Hypervolemia, or fluid volume excess, results in increased total body water and extracellular fluid. Rapid or gradual weight gain is a common and measurable indicator of fluid retention. Daily weight monitoring is a key assessment tool for evaluating the severity of hypervolemia and the effectiveness of interventions such as diuretics or fluid restriction. B. Hypotension: Hypervolemia typically leads to increased circulating blood volume, which raises venous return and cardiac output. This often results in hypertension rather than hypotension. Hypotension is more characteristic of hypovolemia or fluid loss. C. Bradycardia: Fluid overload generally causes the heart rate to remain normal or slightly elevated due to increased cardiac workload and compensatory mechanisms. Bradycardia is not an expected finding and may indicate other cardiac conduction abnormalities rather than hypervolemia. D. Loss of skin turgor: Decreased skin turgor is a classic sign of dehydration and fluid deficit, not fluid overload. In hypervolemia, skin may appear edematous or stretched rather than dehydrated, and peripheral edema is more characteristic than changes in turgor.

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