A nurse is caring for a client who is receiving 0.9% sodium chloride solution to treat dehydration. Which of the following findings should the identify as an adverse effect of the infusion?

A. Increased bowel sounds: Increased bowel sounds are not associated with IV fluid therapy. They typically occur with gastrointestinal stimulation or diarrhea, not with excessive fluid administration. B. Dark amber urine: Dark urine indicates concentrated urine and dehydration, suggesting that the client may still be underhydrated rather than experiencing an adverse effect of fluid infusion. C. Shortness of breath: Shortness of breath can indicate fluid volume overload, an adverse effect of rapid or excessive infusion of 0.9% sodium chloride. The fluid may accumulate in the lungs, leading to pulmonary edema and impaired gas exchange. D. Decreased skin turgor: Decreased skin turgor is a sign of dehydration, which should improve—not worsen—during IV fluid therapy. Its presence would suggest inadequate fluid replacement rather than an adverse effect.