The nurse is caring for a client who is receiving intravenous fluids postoperatively following cardiac surgery.The nurse is aware that this client is at risk for fluid volume excess.The family asks why the client is at risk for this condition.Which response by the nurse is the most appropriate?
A) "Fluid volume excess is caused by new onset liver failure caused by the surgery."
B) "Fluid volume excess is caused by the intravenous fluids."
C) "Fluid volume excess is common due to increased levels of antidiuretic hormone in response to the stress of surgery."
D) "Fluid volume excess is caused by inactivity."

Question

Quizplus · Accepted Answer

A) Antidiuretic hormone (ADH) and aldosterone levels are commonly increased following the stress response before, during, and immediately after surgery. This increase leads to sodium and water retention. Adding more fluids intravenously can cause a fluid volume excess and stress upon the heart and circulatory system. A fluid volume deficit would not occur with the administration of intravenous fluids. Liver failure is not caused by the surgery. Fluid volume excess is not caused by inactivity.
B) Antidiuretic hormone (ADH) and aldosterone levels are commonly increased following the stress response before, during, and immediately after surgery. This increase leads to sodium and water retention. Adding more fluids intravenously can cause a fluid volume excess and stress upon the heart and circulatory system. A fluid volume deficit would not occur with the administration of intravenous fluids. Liver failure is not caused by the surgery. Fluid volume excess is not caused by inactivity.
C) Antidiuretic hormone (ADH) and aldosterone levels are commonly increased following the stress response before, during, and immediately after surgery. This increase leads to sodium and water retention. Adding more fluids intravenously can cause a fluid volume excess and stress upon the heart and circulatory system. A fluid volume deficit would not occur with the administration of intravenous fluids. Liver failure is not caused by the surgery. Fluid volume excess is not caused by inactivity.
D) Antidiuretic hormone (ADH) and aldosterone levels are commonly increased following the stress response before, during, and immediately after surgery. This increase leads to sodium and water retention. Adding more fluids intravenously can cause a fluid volume excess and stress upon the heart and circulatory system. A fluid volume deficit would not occur with the administration of intravenous fluids. Liver failure is not caused by the surgery. Fluid volume excess is not caused by inactivity.

The Nurse Is Caring for a Client Who Is Receiving