Question

A nurse is assessing a client who has heart failure. Which of the following findings should the nurse identify as an indication that the client is experiencing fluid overload? A. Dark concentrated urine B. Postural twpotension C. Bounding pulse D. Flat neck velins

Answer 1

A bounding pulse is an indication of fluid overload in a client with heart failure, which can occur due to water and sodium retention and is managed by addressing the underlying condition.

Step-by-step explanation:

The nurse assessing a client with heart failure should identify a bounding pulse as an indication that the client is experiencing fluid overload. Fluid overload, or hypervolemia, is a condition commonly seen in patients with heart failure, where there is an excessive volume of fluid in the circulatory system. This happens due to the retention of water and sodium. The condition can lead to an increase in blood pressure and may cause a bounding or significantly strong and forceful pulse. In contrast, dark concentrated urine may indicate dehydration, postural hypotension could suggest a decrease in blood volume or dehydration, and flat neck veins may be seen in cases of hypovolemia, not fluid overload.