The nurse is assessing a client for fluid balance. Which findings support a diagnosis of fluid volume deficit?
1. Increased heart rate, increased blood pressure, and cold clammy skin
2. Decreased blood pressure, increased heart rate, and dry skin
3. Dry skin, decreased heart rate, and increased blood pressure
4. Decreased heart rate, decreased blood pressure, and diaphoresis
Answer: 2
1. The blood pressure would be low and skin would be dry.
2. Fluid volume deficit is a decrease in extracellular fluid, characterized by a drop in blood pressure and dry skin. The heart rate increases to compensate for the reduction in blood volume.
3. The heart rate would be increased and blood pressure would be low.
4. The skin would be dry and not diaphoretic.
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