Which assessment finding is most important for determining whether interventions for overhydration are effective?

A. Serum sodium level of 133 mEq/L
B. Weight loss and increased urine output
C. Urine specific gravity change from 1.026 to 1.025
D. Pulse pressure change from 40 mm Hg to 30 mm Hg


B
An increased urine output coupled with weight loss is a good indication that overhydration is resolving. A serum sodium level of 133 mEq/L is low and may reflect dilutional hyponatremia. A change in urine specific gravity by one unit may indicate the beginning of a trend but by itself is not significant. A narrowing of pulse pressure may indicate the beginning of fluid loss or may be a result of cardiac complications. Again, by itself, the pulse pressure change does not support resolution of the overhydration.

Nursing

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