A nurse is monitoring a patient with Congestive heart failure and notes a gain of 2 kg in 24 hours, bilateral crackles on auscultation, and jugular venous distention. These findings are most consistent with:
Show answer and explanation
Correct answer: Fluid volume excess
Rapid weight gain, crackles, and JVD are indicative of fluid retention and overload, specifically fluid volume excess.
Keep practicing
More Fluid Volume Deficit and Excess questions
- A patient receiving large volumes of isotonic IV fluids without monitoring develops crackles, JVD, and weight gain. Which mechanism explain…
- Which statement by a patient indicates understanding of teaching about managing fluid volume excess at home?
- A nurse is monitoring a patient with Congestive heart failure and notes a gain of 2 kg in 24 hours, bilateral crackles on auscultation and…
- A patient with fluid volume deficit is most at risk for which complication?
- The primary nursing intervention for a patient in hypovolemia is:
- A nurse notes that a patient’s urine output is 20 mL/hr for 3 hours, skin turgor is tenting, and capillary refill is 4 seconds. These findi…