A Patient Is in the Intensive Care Unit with Acute

A patient is in the intensive care unit with acute renal failure secondary to septic shock and is receiving intravenous fluids of 0.9% NaCl at 125 mL/hr. The patient develops crackles in the lungs, distended neck veins, 1+ pitting edema in the feet, and a 4-pound weight gain from the previous day. What nursing diagnosis is most appropriate to this situation?

A) Imbalanced nutrition: greater than body requirements
B) Excess fluid volume
C) Decreased cardiac output
D) Ineffective tissue perfusion: peripheral