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A nurse is reviewing the health records of assigned clients. The nurse plans care knowing that which client is at risk for fluid volume deficit?

1. The client with cirrhosis
2. The client with a colostomy
3. The client with decreased kidney function
4. The client with congestive heart failure (CHF)

1 Answer

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Final answer:

The client with a colostomy is at risk for fluid volume deficit due to potential losses in fluids and electrolytes, whereas clients with cirrhosis, decreased kidney function, and CHF are more at risk for hypervolemia.

Step-by-step explanation:

The client at risk for fluid volume deficit would be the client with a colostomy. A colostomy can lead to the loss of fluids and electrolytes, as it involves an alteration in the normal way that waste and water are processed and expelled from the body. Clients with cirrhosis, decreased kidney function, and congestive heart failure (CHF) are generally more at risk for fluid overload, or hypervolemia, due to fluid retention as a result of their conditions. It's essential to monitor and manage the fluid balance in these clients to maintain homeostasis and prevent further complications.

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