When an excess of body fluid exists in the intravascular compartment, all of the following signs can be expected except:
1. Rales
2. A bounding pulse
3. Engorged peripheral veins
4. An elevated hematocrit level
ANSWER
ANS: 4
An elevated hematocrit level would be expected with a deficit of body fluid in the intravascular compartment. When an excess of body fluid exists in the intravascular compartment, a decreased hematocrit would be expected. Crackles (in lungs) are consistent findings with fluid volume ex-cess. An assessment finding associated with fluid volume excess is a bounding pulse. Engorged peripheral veins may be seen with fluid volume excess.
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