A postoperative patient is diagnosed with fluid volume overload. Which assessment would the nurse attribute to this diagnosis?
1. The patient has poor skin turgor.
2. The patient has decreased urine output.
3. The patient reports sleeping on two pillows.
4. The patient's laboratory testing reveals concentrated hemoglobin and hematocrit levels.
3
Rationale 1: Poor skin turgor is associated with fluid volume deficit.
Rationale 2: Decreased urine output is associated with fluid volume deficit.
Rationale 3: Fluid volume overload can result in difficulty breathing when the patient tries to sleep. The patient may compensate for this condition by sleeping on more than one pillow.
Rationale 4: Increased hemoglobin and hematocrit values are associated with fluid volume deficit.
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A) Physical therapy B) Antimicrobial therapy C) Isolation D) Chest physiotherapy E) Smoking cessation
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a. I b. II c. III d. IV