A high acuity patient is admitted after having abdominal surgery. This surgery would impact which of the following questions used when assessing the history for the fluid and electrolyte assessment?
1. Does the patient have an injury or disease process than can alter fluid and electrolyte balance?
2. Is the patient receiving any medications that can alter fluid and electrolyte balance?
3. Does the patient have any dietary restrictions that can alter fluid and electrolyte balance?
4. How does the total intake of fluids compare with the total output of fluids?
1
Rationale: Abdominal surgery is an example of an injury or disease process that can alter the patient's fluid and electrolyte balance. Diuretics and laxatives would be examples of the patient receiving medications that can alter the fluid and electrolyte balance. Nothing by mouth or a sodium restricted diet are examples of dietary restrictions that can alter the fluid and electrolyte balance. Monitoring intake and output would be an example of comparing the intake of fluids with the output of fluids.
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