Which postoperative client should the nurse monitor closely for fluid volume overload?

The rationale for closely monitoring the client with lymph dissection for fluid volume overload is based on the surgical procedure's impact on the body's lymphatic system, which can lead to complications such as lymphedema. During lymph node dissection, there is a disruption in normal lymphatic drainage, and the body may not effectively manage fluid balance in the affected areas. This impairment can cause fluid accumulation and subsequently lead to fluid volume overload.

Moreover, clients who undergo lymph dissection often receive additional fluids during and after surgery due to the surgical procedure's nature and potential complications related to fluid loss or changes in electrolyte balance. As a result, these factors make monitoring for fluid overload especially critical for this client group.

In contrast, clients recovering from an appendectomy, knee replacement, or gallbladder surgery may not experience the same risks for fluid volume overload related to the type of surgical procedure. Their fluid management issues, if present, are typically less pronounced than in patients with lymph dissection. Therefore, the client with lymph dissection is recognized as needing closer observation in this context.