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?
a. Pulse oximetry reading 92%
b. leostomy output of 650 ml in 4 hours
c. Skin returns to position after being pinched up
d. Fine inspiratory crackdes that clear with coughing
e. Blood pressure (BP) 104/66 mmHg, temperature 98.4" F. pulse 106 beats per minute, respirations 20 breaths per minute