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Which assessment indicates a client might be experiencing circulatory overload after receiving a unit of packed RBCs?

  1. Increased appetite

  2. Dyspnea

  3. Decreased urine output

  4. Dry skin

The correct answer is: Dyspnea

If a client is experiencing circulatory overload after receiving a unit of packed RBCs, they may experience dyspnea (shortness of breath) because excess fluid in the bloodstream can put pressure on the lungs, making it difficult to breathe. Increased appetite and dry skin are unrelated to this assessment. Decreased urine output could also be a sign of circulatory overload, but it is not a specific indicator like dyspnea.