The nurse who is caring for a client with a diagnosis of cirrhosis suspects fluid volume excess. The client is experiencing dyspnea, and a respiratory rate of 32, and crackles are heard on the auscultation of the lungs
If a fluid volume excess is present, what additional findings would the nurse expect to note in this client? a. flat hand and neck veins c. elevated blood pres-sure
b. weak and thready pulse d. increased urine out-put
C
The findings associated in a client experiencing fluid volume excess include cough, dyspnea, crackles, tachypnea, tachycardia, and elevated blood pressure and a bounding pulse, weight gain, edema, neck and hand vein distention, altered level of consciousness, and a decreased hematocrit.
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