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CCRN Critical Care Nursing

Category - Adult

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A nurse is taking care of a 78 year old female who suffered a myocardial infarction 24 hours ago. The nurse would suspect that the patient has a problem with excess fluid volume when the patient’s skin appears:

Dry and scaly
Taut and shiny
Red and irritated
Thin and frail

Explanation

Answer: B - The nurse would suspect the patient is having a problem with fluid excess when the skin appears taut and shiny. The fluid accumulates in the interstitial compartment, causing the tautness of the skin.

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CCRN Critical Care Nursing

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CCRN Critical Care Nursing

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