A client who is admitted with malnutrition and anorexia secondary to chemotherapy is also exhibiting generalized edema. The client asks the nurse for an explanation for the edema. Which of the following is the most appropriate response by the nurse?
A. \The fluid is an adverse reaction to chemotherapy.\ B. \A decrease in activity has allowed extra fluid to accumulate in the tissues.\ C. \Poor nutrition has caused decreased blood protein levels, and fluid has moved from the blood vessels into the tissues.\ D. \Chemotherapy has increased your blood pressure, and fluid was forced out into the tissues.\
"Poor nutrition has caused decreased blood protein levels, and fluid has moved from the blood vessels into the tissues."
Generalized edema, or anasarca, is often seen in clients with low albumin levels secondary to poor nutrition. Decreased oncotic pressure within the blood vessels allows fluid to move from the intravascular space to the interstitial space.