Question

The nurse identifies which sign or symptom indicates a client may have fluid volume excess?

Answer 1

The nurse can identify fluid volume excess by looking for signs and symptoms such as edema and increased fluid retention. Pitting edema can be observed by pressing a finger into the suspected area. Underlying medical conditions like heart failure, liver cirrhosis, and kidney disease can also cause fluid volume excess.

Step-by-step explanation:

The nurse can identify fluid volume excess by looking for signs and symptoms such as edema, which is the accumulation of excess water in the tissues. This may be seen as swelling over large areas of the body, particularly the lower extremities. Another indicator can be increased fluid retention in the interstitial spaces and cells of the body.

One way to check for localized edema in a limb is to press a finger into the area. If a depression persists for several seconds after the finger is removed (referred to as 'pitting'), it can indicate edema.

In addition, the underlying medical conditions that can cause fluid volume excess include heart failure, liver cirrhosis, kidney disease, hyperaldosteronism, and certain glucocorticoid steroid treatments.

Answer 2

Fluid volume excess, or hypervolemia, is characterized by the accumulation of excess water in the body tissues. Key signs include systemic edema, swollen feet and ankles, shortness of breath, fatigue, and feeling spaced out.

Step-by-step explanation:

Fluid volume excess, also known as hypervolemia, is characterized by an accumulation of excess water in the body tissues. It can be caused by conditions such as heart failure, liver cirrhosis, kidney disease, and certain hormonal imbalances. One of the key signs or symptoms of fluid volume excess is systemic edema, which is the swelling of tissues throughout the body, particularly in the lower extremities. This can be observed in swollen feet and ankles. Additionally, a client with fluid volume excess may also experience shortness of breath, fatigue, and a feeling of being 'spaced out.' It's important to note that the presence of edema can be checked by pressing a finger into the suspected area. If a depression persists for several seconds after the finger is removed, it is referred to as 'pitting' edema, which could indicate fluid volume excess.