The nurse is caring for a patient who is very dehydrated. Which goal best indicates that the nursing diagnosis of Deficient fluid volume has been corrected and that the patient's fluid balance has been restored?
a. The patient had 1300 mL of light yellow urine in the last 24 hours.
b. The patient's lung sounds are clear bilaterally.
c. The patient has no jugular venous distention.
d. The patient verbalizes need for adequate daily fluid intake.
ANS: A
The goal that best indicates that the patient's dehydration has been corrected is output of 1300 mL of clear yellow urine in the last 24 hours. Dark concentrated urine is a symptom of dehydration. Jugular venous distention and presence of crackles in the lungs are both indicative of fluid volume overload.
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