A nurse is assessing a patient. Which assessment finding should cause a nurse to further assess for extracellular fluid volume deficit?

a. Moist mucous membranes
b. Postural hypotension
c. Supple skin turgor
d. Pitting edema


ANS: B
Physical examination findings of deficit include postural hypotension, tachycardia, thready pulse, dry mucous membranes, and poor skin turgor. Pitting edema indicates that the patient may be retaining excess extracellular fluid.

Nursing

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