A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?

Choice A reason:

Sodium attracts water and increases the fluid volume in your blood vessels. This is the correct answer because sodium is an electrolyte that helps regulate the balance of fluids in the body. When there is too much sodium in the blood, it draws water from the cells and tissues into the blood vessels, increasing the blood volume and pressure. This puts extra strain on the heart and can worsen heart failure symptoms.

Choice B reason:

Sodium causes water to move out of your cells and into your urine. This is incorrect because sodium does not cause water to move out of the cells and into the urine. In fact, sodium can cause water retention by stimulating the release of antidiuretic hormone (ADH), which reduces urine output and increases blood volume.

Choice C reason:

Sodium stimulates your kidneys to retain water and decrease urine output. This is incorrect because sodium does not directly stimulate the kidneys to retain water and decrease urine output. However, sodium can indirectly affect the kidney function by increasing the blood volume and pressure, which can damage the kidney cells and impair their ability to filter waste and excess fluid from the body.

Choice D reason:

Sodium interferes with the action of your heart medications. This is incorrect because sodium does not interfere with the action of your heart medications. However, some heart medications, such as diuretics, can cause sodium loss in the urine, which can lead to low blood sodium levels (hyponatremia) This can cause symptoms such as confusion, weakness, nausea, and muscle cramps. Therefore, it is important to monitor your sodium intake and blood levels while taking heart medications.

Choice A reason:

Increased hematocrit is not a finding of fluid overload, but rather of dehydration. Hematocrit is the percentage of red blood cells in the blood volume. When the blood volume decreases due to fluid loss, the hematocrit increases.

Choice B reason:

Decreased heart rate is not a finding of fluid overload, but rather of fluid deficit. When the blood volume increases due to fluid retention, the heart rate increases to maintain cardiac output.

Choice C reason:

Crackles in the lungs are a finding of fluid overload. Crackles are caused by fluid accumulation in the alveoli, which interferes with gas exchange and produces a crackling sound on auscultation.

Choice D reason:

Sunken eyeballs are not a finding of fluid overload, but rather of dehydration. Sunken eyeballs are caused by loss of subcutaneous fat and tissue turgor due to fluid loss. Some additional sentences are.