Question

A nurse is assessing a ct who has fluid volume excess. Which of the following manifestations should the nurse expect?

A. Hypotension
B. Dry mucous membranes
C. Decreased urine output
D. Edema

Answer 1

When assessing a patient with fluid volume excess, a nurse should expect to see manifestations of edema, which are swelling, increased limb size, and tight skin, rather than hypotension, dry mucous membranes, or decreased urine output.

Step-by-step explanation:

A nurse assessing a patient who has fluid volume excess should expect to see manifestations of edema. This condition, characterized by the accumulation of excess water in the tissues, typically leads to symptoms such as swelling of subcutaneous tissues, an increase in limb size, and stretched, tight skin. In contrast, hypotension (abnormally low blood pressure), dry mucous membranes, and decreased urine output are not generally indicative of fluid volume excess. Instead, these can be associated with conditions such as dehydration or hypovolemia, which is the reduction of blood plasma. Therefore, the correct manifestation that the nurse should expect is D. Edema.