Question

The nurse is caring for a client with heart failure (HF). Which signs and symptoms could indicate fluid overload? Select all that apply.

a) Edema
b) Increased urine output
c) Crackles in the lungs
d) Hypotension

Answer 1

Edema, crackles in the lungs, and increased urine output are signs and symptoms of fluid overload in a client with heart failure.

Step-by-step explanation:

The signs and symptoms that could indicate fluid overload in a client with heart failure include:

• Edema: This is the swelling of body tissues due to excess fluid accumulation. It commonly occurs in the ankles, feet, and legs.
• Crackles in the lungs: These are abnormal sounds heard during breathing and can indicate fluid in the lungs.
• Increased urine output: In heart failure, the kidneys may try to compensate by increasing urine production to remove excess fluid from the body.

The nurse needs to monitor these signs and symptoms closely as they can indicate worsening fluid overload and the need for medical intervention.