Which finding indicates fluid volume excess in a client who received IV fluids for dehydration?

The presence of distended neck veins is a key indicator of fluid volume excess. When a client receives IV fluids for dehydration, the body may become overloaded with fluid if too much is administered or if the client has cardiac or kidney issues. Distended neck veins occur as a result of increased venous pressure, which is a direct consequence of excess fluid in the vascular system. This is particularly evident in the jugular veins, which can become visibly distended due to the elevated pressure.

In a healthy response to fluid administration, we would expect dry mucous membranes to resolve as hydration improves, blood pressure to stabilize or rise with adequate fluid, and urine output to increase as the kidneys respond to the fluid load. However, distended neck veins signal that the volume overload is affecting venous return and can be a warning sign of potential complications such as pulmonary edema or heart failure. Recognizing and understanding this finding is critical in assessing the patient's response to IV fluid therapy.