NCLEX-PN

Category - Basic Care

Which of the following clients has the greatest risk for fluid volume excess?
  1. A client with diabetes insipid us
  2. A client with hyperemesis gravidarum
  3. A client with a colostomy
  4. A client who is on long-term steroid therapy
Explanation
Answer: D - Clients on long-term steroid therapy retain fluid, which increases their risk for fluid volume excess. Clients on colostomy are at risk for fluid volume deficit. Frequent vomiting and abnormally increased urine output increase the risk for dehydration, as well.
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