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A nurse is assessing a client's hydration status. Which of the following findings indicates fluid volume overload?

a. Sunken fontanelles.

b. Decreased skin turgor.

c. Distended neck veins.

d. Hypotension.

1 Answer

7 votes

Final answer:

The finding that indicates fluid volume overload is distended neck veins. Other options represent signs of dehydration, contrasting with the symptoms of fluid volume overload like swelling and hypertension.

Step-by-step explanation:

The subject of this question is Health, especially focused on the assessment of a client's hydration status in the context of nursing. The correct answer to the question “Which of the following findings indicates fluid volume overload?” is c. Distended neck veins. This finding is associated with fluid volume overload, which occurs when the body has too much fluid. Other options such as sunken fontanelles (a.), decreased skin turgor (b.), and hypotension (d.) typically indicate dehydration, not fluid overload. Fluid volume overload can result in symptoms such as swelling, hypertension, and altered consciousness due to perturbed osmotic balance, leading to potential hyponatremia. This imbalance may be reflected in increased blood pressure, opposed to dehydration which is often accompanied by symptoms like low blood pressure, dry skin, and increased thirst.

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