Evolve HESI Practice Exam

If a client is receiving fluid therapy and their weight increases significantly, what should the nurse suspect?

1. Hyperglycemia

2. Fluid overload

3. Dehydration

4. Electrolyte imbalance

The correct answer is: Fluid overload

When a client is undergoing fluid therapy and experiences a significant weight increase, the nurse should suspect fluid overload. This condition occurs when there is an excessive amount of fluid in the body, often as a result of administering fluids too rapidly or in volumes that exceed the patient's ability to handle them. The significant weight gain is primarily due to the accumulation of excess fluid, which can lead to other serious complications such as pulmonary edema, heart failure, or increased blood pressure. Recognizing fluid overload is crucial for patient safety, as it may necessitate interventions such as adjusting fluid administration, monitoring vital signs closely, or administering diuretics to help remove the excess fluid. Early identification and management can prevent further complications and ensure that the client remains stable during their treatment.