Question

42 of 50
the nurse is assigned to care for a group of clients. on review of the clients medical
records, the nurse determines that which client is most likely at risk for a fluid volume
deficit?
rationale, strategy, tip
answer options
1 a client with an ileostomy
2 a client with heart failure
3 a client on long - term corticosteroid therapy
4 a client receiving frequent wound irrigations

Explanation:

An ileostomy can lead to significant fluid loss through the stoma as the normal re - absorption of fluids in the large intestine is bypassed. Heart failure typically causes fluid volume overload due to impaired cardiac function and fluid retention. Long - term corticosteroid therapy can cause sodium retention (and thus fluid retention) as a side effect. Frequent wound irrigations usually do not cause a significant fluid volume deficit compared to the fluid loss from an ileostomy.

Answer:

A. A client with an ileostomy