Question

A client admitted for heart failure has a priority problem of hypervolemia related to compromised regulatory mechanisms. Which assessment result obtained the day after admission is the best indicator that the treatment has been effective? a) The client has diuresis of 400 mL in 24 hours. b) The client’s blood pressure is 122/84 mm Hg. c) The client has an apical pulse of 82 beats/min. d) The client’s weight decreases by 2.5 kg.

Answer 1

d) The client’s weight decreases by 2.5 kg.

Step-by-step explanation:

Hypervolemia is the excess volume of fluid in a patient's body, which refers to an isotonic expansion caused by the retention of water and sodium at about the same rate as in the interstitial fluid. In the case of the patient shown in the question above, the result showing that the treatment he was submitted to had a positive result is that the client has lost 2.5 kilograms.

This means that the client lost approximately 2500mL of fluid that was retained in his body by the action of hypervolemia, if you consider that 1kg represents approximately 1000mL.