A client's extracellular fluid (ECF) exceeds 20% of his normal body weight. The nurse's findings on assessment might include:
1. edema and weight gain.
2. increased output.
3. weight loss.
4. decreased intake.
Answer: 1
1. The excess fluid in the extracellular spaces contributes to edema and will be reflected as weight gain.
2. Increased output is associated with a fluid deficit.
3. Weight loss is associated with a fluid deficit.
4. Decreased intake is associated with a fluid deficit.
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