a nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. the nurse…

a nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. the nurse should identify which of the following findings as indications that the client has fluid volume deficit? (select all that apply.) full bounding pulse cool extremities moist crackles in the lungs orthostatic hypotension flat neck veins

a nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. the nurse should identify which of the following findings as indications that the client has fluid volume deficit? (select all that apply.) full bounding pulse cool extremities moist crackles in the lungs orthostatic hypotension flat neck veins

Answer

Brief Explanations:

To determine fluid volume deficit (FVD) signs:

  • Full bounding pulse: Sign of fluid volume excess (FVE), not deficit. Eliminate.
  • Cool extremities: Vasoconstriction from FVD (body redirects blood to vital organs). Applies.
  • Moist crackles in lungs: Sign of FVE (fluid in lungs). Eliminate.
  • Orthostatic hypotension: Drop in BP with position change, common in FVD (decreased blood volume). Applies.
  • Flat neck veins: Reduced blood volume in veins, a classic FVD sign. Applies.

Answer:

B. Cool extremities, D. Orthostatic hypotension, E. Flat neck veins