Exhibits The client likely has dropdown related to dropdown
Explanation & Rationale
Response 1 A. Fluid volume deficit The client has signs of dehydration such as dry mucous membranes and a recent history of not having much to eat or drink in the past 2 days, which indicates a fluid volume deficit. B. Respiratory alkalosis There is no evidence to support respiratory alkalosis. The client's primary issues are related to infection and dehydration. C. Hypoxia The client’s oxygen saturation is 100% on 2 L/minute nasal cannula, so hypoxia is not a current issue. D. Diarrhea Diarrhea is not mentioned in the history, symptoms, or findings. It is not relevant to the client's condition. Response 2 A. Decreased fluid intake The client has not had much to eat or drink in the past 2 days, contributing directly to the fluid volume deficit. B. Increased respiratory rate While the client has an increased respiratory rate, it is a symptom of pneumonia rather than a cause of fluid volume deficit. C. Infection Although the client has pneumonia, the fluid volume deficit is more directly related to decreased fluid intake than to infection. D. Heart disease Heart disease is not mentioned and is not relevant to the client’s current presentation.