The nurse assesses the fluid balance in a client. Which of the following findings would support a fluid volume deficit?
A)
dry skin, decreased heart rate, and increased blood pressure
B)
increased heart rate, increased blood pressure, and cold clammy skin
C)
decreased heart rate, decreased blood pressure, and diaphoresis
D)
decreased blood pressure, increased heart rate, and dry skin
D
Explanation:
A)
Fluid volume deficit is characterized by a decrease in extracellular fluid, which would manifest as a drop in blood pressure and dry skin. Heart rate increases to compensate for the reduction in blood volume.
Analysis
Assessment
Physiological Integrity: Reduction of Risk Potential
B)
Fluid volume deficit is characterized by a decrease in extracellular fluid, which would manifest as a drop in blood pressure and dry skin. Heart rate increases to compensate for the reduction in blood volume.
Analysis
Assessment
Physiological Integrity: Reduction of Risk Potential
C)
Fluid volume deficit is characterized by a decrease in extracellular fluid, which would manifest as a drop in blood pressure and dry skin. Heart rate increases to compensate for the reduction in blood volume.
Analysis
Assessment
Physiological Integrity: Reduction of Risk Potential
D)
Fluid volume deficit is characterized by a decrease in extracellular fluid, which would manifest as a drop in blood pressure and dry skin. Heart rate increases to compensate for the reduction in blood volume.
Analysis
Assessment
Physiological Integrity: Reduction of Risk Potential
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