With which client should the nurse be most alert for the development of overhydration?
A. 65-year-old client who has diabetes mellitus and chronic hypertension
B. 45-year-old client who self-medicates with sodium-containing antacids for indi-gestion
C. 75-year-old client receiving blood replacement therapy with 3 units of packed red blood cells
D. 80-year-old client 1 day postoperative from abdominal surgery who has an NG tube to continuous suction
C
Blood replacement therapy involves intravenous fluid administration, which inherently increases the risk for overhydration. The fact that the fluid consists of packed red blood cells greatly in-creases the risk because this fluid increases the colloidal oncotic pressure of the blood, causing fluid to move from the interstitial and intracellular spaces into the plasma volume. An older adult may not have sufficient cardiac or renal reserve to manage this extra fluid.
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Indicate whether the statement is true or false