A client's extracellular fluid (ECF) exceeds 20% of his normal body weight. The nurse's findings on assessment may include:
A)
weight loss.
B)
edema and weight gain.
C)
increased output.
D)
decreased intake.
B
Explanation:
A)
The excess fluid in the extracellular spaces contributes to edema and will be reflected as weight gain. The other options indicate a loss of fluid has occurred.
Analysis
Assessment
Health Promotion: Prevention and/or Early Detection of Health Problems
B)
The excess fluid in the extracellular spaces contributes to edema and will be reflected as weight gain. The other options indicate a loss of fluid has occurred.
Analysis
Assessment
Health Promotion: Prevention and/or Early Detection of Health Problems
C)
The excess fluid in the extracellular spaces contributes to edema and will be reflected as weight gain. The other options indicate a loss of fluid has occurred.
Analysis
Assessment
Health Promotion: Prevention and/or Early Detection of Health Problems
D)
The excess fluid in the extracellular spaces contributes to edema and will be reflected as weight gain. The other options indicate a loss of fluid has occurred.
Analysis
Assessment
Health Promotion: Prevention and/or Early Detection of Health Problems
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