MEDizzy - A nurse establishes a nursing diagnosis of Risk for excess

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Altered Fluid and Electrolytes

A nurse establishes a nursing diagnosis of Risk for excess fluid volume for a client diagnosed with heart failure. Which physiological change resulting from heart failure supports this diagnosis?

ExplanationADH is produced in response to changes in intravascular volume. The result is increased water reabsorption. A decrease in GFR would not put the client at risk for excess fluid volume. Increased sodium excretion usually results in increased fluid output and would not place the client at risk for excess fluid volume. Increased cardiac output usually increases perfu- sion to the kidney, resulting in increased output, and does not place the client at risk for excess fluid volume.