The Nurse Is Caring for a Client Who Is Receiving

question 14

Multiple Choice

The nurse is caring for a client who is receiving intravenous fluids postoperatively following cardiac surgery.The nurse is aware that this client is at risk for fluid volume excess.The family asks why the client is at risk for this condition.Which response by the nurse is the most appropriate?

• A) "Fluid volume excess is caused by new onset liver failure caused by the surgery."
• B) "Fluid volume excess is caused by the intravenous fluids."
• C) "Fluid volume excess is common due to increased levels of antidiuretic hormone in response to the stress of surgery."
• D) "Fluid volume excess is caused by inactivity."

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