Fluid Overload Is Suspected in an 82-Year-Old Patient Who Is

Fluid overload is suspected in an 82-year-old patient who is receiving total parenteral nutritional therapy (TPN) when the nurse assesses: (Select all that apply.)

A) excessive urine output.
B) increased pulse rate.
C) dyspnea.
D) hyperactive bowel sounds.
E) complaint of headache.