Patho Patho #5

Question

The nurse is assessing a client with a fluid volume deficit. Which clinical manifestation does the nurse monitor for?

Answers

  1. Weight gain
    • Rationale:

      This answer choice is not correct as a client experiencing a fluid volume deficit will display a weight loss and not weight gain. Clients in fluid volume overload will display weight gain on assessment.

  2. Bounding pulses
    • Rationale:

      This answer choice is not correct as a client experiencing a fluid volume deficit will display weak, thready pulses. Clients in fluid volume overload will display bounding pulses on assessment.

  3. Increased urine output
    • Rationale:

      This answer choice is not correct because clients in a state of fluid volume deficit will have a decrease in urine volume as opposed to increased urine output. There is less circulating volume for the kidneys to filter therefore urinary output will decrease.

  4. Hypotension
    • Rationale:

      This answer choice is correct because clients with a fluid volume deficit will display hypotension due to decreased circulating volume. Clients with fluid volume overload would experience hypertension.

Overview

This question focuses on the assessment of a client with a fluid volume deficit, or dehydration. With a decrease in circulating volume, there will be an accompanying decrease in blood pressure, or hypotension.

Explanation

Learning Outcomes

Manifestations of fluid volume deficit reflect low circulating volumes and compensatory mechanisms for decreased organ perfusion. Signs and symptoms of fluid volume deficit include weight loss, weak, thready pulses, tachycardia, and hypotension. The client will also display a decrease in urine output due to a decrease in volume that is filtered by the kidneys.

Test Taking Tip

Fluids and electrolytes is one of the most difficult concepts to rasp within pathophysiology. A solid understanding of the classic manifestations of fluid volume deficit vs. fluid volume overload is essential.

Video Rationale