For a client with a nursing diagnosis of excess fluid volume, the nurs

For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which one of the following signs and symptoms?

1. Weak, thready pulse
2. Hypertension
3. Dry mucous membranes
4. Flushed skin

ANSWER

ANS: 2
Hypertension is a symptom of fluid volume excess. A weak, thready pulse is associated with fluid volume deficit. A bounding pulse is a symptom of fluid volume excess. Dry mucous mem-branes and flushed skin are both symptomatic of fluid volume deficit, not excess.