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    ATI PN Comprehensive Predictor 2023 Proctored Exam 4

    A nurse is collecting data for a client who is receiving enteral tube feedings. The nurse should identify that which of the following findings is a manifestation of fluid overload?

    Explanation & Rationale

    Fluid overload refers to an excess volume of fluid in the body, which can occur as a result of various factors, including excessive fluid intake or inadequate fluid removal. Crackles heard in the lungs, also known as rales, can indicate fluid accumulation in the lungs, a condition known as pulmonary edema. It is a common manifestation of fluid overload and can be detected through auscultation of the lungs. Weight loss is typically associated with inadequate calorie or nutrient intake, rather than fluid overload. Decreased blood pressure is more commonly associated with hypovolemia or low blood volume, rather than fluid overload. Decreased skin turgor is a sign of dehydration or reduced skin elasticity, which is typically seen in conditions involving fluid deficit rather than fluid overload.

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