Question

: A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk of fluid volume deficit?

a) The client with heart failure
b) The client with renal failure
c) The client with cirrhosis
d) The client with syndrome of inappropriate antidiuretic hormone (SIADH)

Answer 1

The client with syndrome of inappropriate antidiuretic hormone (SIADH) is most at risk of fluid volume deficit, as SIADH leads to abnormal retention of water which can cause dehydration.

Step-by-step explanation:

The client at risk of fluid volume deficit is the one with syndrome of inappropriate antidiuretic hormone (SIADH).

While conditions such as heart failure, renal failure, and cirrhosis are often associated with hypervolemia due to the retention of water and sodium, SIADH specifically involves excessive release of ADH.

This hormone causes the kidneys to retain water, which can dilute electrolytes and potentially lead to a fluid volume deficit.

Although SIADH can lead to an apparent excess of water, this is intracellular, and extracellular fluid volume (such as within the vascular system) may be depleted, increasing the risk of dehydration.

Therefore, out of the options provided, client d) with SIADH is most at risk.