The nurse is monitoring a patient who is receiving IV fluid. The nurse identifies that the patient is experiencing a fluid overload when assessment reveals:
A. chills, fever, and generalized discomfort
B. blood in the tubing close to the insertion site
C. dyspnea, headache, and icnreased blood pressure
D. pallor, swelling, and discomfort at the insertion site
Dyspnea, headache, and increased blood pressure
Rationale: IV fluid flows directly into the circulatory system via a vein. Excess intravascular volume (hypervolemia) causes hypertension, pulmonary edema, and headache.