When assessing for fluid overload, which clinical finding would the nurse most likely expect?

Fluid overload occurs when there is an excessive accumulation of fluid in the body, leading to various clinical manifestations. One key finding that indicates fluid overload is peripheral edema, which is the swelling that occurs in the extremities due to the accumulation of fluid in the interstitial space. This swelling is particularly noticeable in areas such as the hands, feet, and lower legs, and it can be assessed by pressing on the skin to see if an indentation remains (pitting edema).

In fluid overload, the kidneys may struggle to excrete the excess volume, leading to increased pressure in the vascular system and a shift of fluid into the surrounding tissues. This results in the characteristic swelling associated with peripheral edema. It is important for nurses to recognize such findings, as they can help guide treatment decisions and management of patients who may be experiencing fluid balance issues.

In contrast, other options like increased urine output would typically indicate adequate fluid balance or even fluid deficit rather than overload. Dry skin and weight loss are also signs more commonly associated with dehydration or inadequate fluid intake, rather than the retention of fluid associated with overload.