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The Nurse Is Planning Care for a Client Diagnosed with Acute

Question 56

Multiple Choice

The nurse is planning care for a client diagnosed with acute kidney injury (AKI) . The nurse plans the client's care based on the nursing diagnosis of Excess Fluid Volume. Which assessment data supports this nursing diagnosis?


A) Pitting edema in the lower extremities
B) Bowel sounds positive in four quadrants
C) Wheezing in the lungs
D) Generalized weakness

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