The nurse is providing afternoon shift report and relates morning assessment findings to the oncoming nurse. Which daily assessment data is necessary to determine changes in hypervolemia status?
A) Vital signs
B) Edema
C) Intake and output
D) Weight
D
Feedback:
Daily weight provides the ability to monitor fluid status. A 2-lb weight gain in 24 hours indicates that the client is retaining 1 L of fluid. Also, the loss of weight can indicate a decrease in edema. Vital signs do not always reflect fluid status. Edema could represent a shift of fluid within body spaces and not a change in weight. Intake and output don't account for insensible fluid loss.
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