The nurse is assisting in the care of a dient with a new ileostomy on the clinical nursing unit. Which
obsations indicate to the nurse that the
client is at risk for fluid volume deficit? Select all that apply.
Rationale, Strategy
Answer Options
3
Pulse oximetry reading 92%
leostomy output of 650 ml in 4 hours
Skin returns to position after being pinched up
Fine inspiratory crackdes that clear with coughing
Blood pressure (BP) 104/66 mmHg, temperature 98.4" F. pulse 106 beats per minute,
respirations 20 breaths per minute