95. Which finding is consistent with a client developing fluid overload?
. Pulse over 100.
. Pulmonary crackles that clear with deep breathing.
. Concentrated urine.
. Oxygen saturation less than 92% on 40% O2 via facemask.
Test-Taking Tip
Look for an option that occurs when the heart is unable to effectively pump the circulating volume.
Content Area: Adult Health, Fluid and Electrolyte Imbalances; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Fluid and Electrolyte Imbalances
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Answer 1 is incorrect because rapid heart rate is more commonly associated with dehydration or hypovolemia, not fluid overload. Answer 2 is incorrect because pulmonary crackles that clear with deep breathing are an indication of atelectasis, not heart failure from volume overload. Answer 3 is incorrect because concentrated urine is more often seen in dehydration as the body tries to conserve fluid, not in fluid overload. Answer 4 is correct because excess fluid in the lung is decreasing oxygen transfer into the tissues.