Which assessment findings indicate fluid volume overload from high-flow IV therapy?

A bounding pulse is a significant assessment finding that suggests fluid volume overload from high-flow intravenous (IV) therapy. When a patient receives excessive fluid, the increased blood volume can lead to higher pressure in the vascular system. This is reflected in a bounding pulse, which is characterized by a strong and forceful heartbeat that can be palpated at peripheral arteries. It often indicates that the heart is pumping with increased volume and pressure, corresponding to the excess fluid in circulation.

In contrast, other assessment findings like decreased heart rate and low blood pressure are typically not associated with fluid volume overload. Instead, they may suggest complications such as shock or other cardiovascular issues. Clear breath sounds indicate that there is no fluid accumulation in the lungs, making it an inappropriate finding to indicate overload. Understanding these nuances is critical in monitoring patients receiving high-flow IV therapy, as early identification of fluid overload can prevent serious complications such as pulmonary edema or heart failure.