A patient is admitted with fluid-volume deficit. Which of the following will the nurse most likely assess in this patient?
1. Blood pressure 80/60 mm Hg
2. Blood pressure 150/86 mm Hg
3. Pitting edema lower extremities
4. Respiratory rate 26 per minute
Blood pressure 80/60 mm Hg
Rationale: In fluid-volume deficit, the blood pressure will be lower than normal. A blood pressure higher than normal is indicative of fluid-volume excess. Pitting edema of the lower extremities and a respiratory rate of greater than 20 per minute are also indicative of fluid-volume excess.
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