A nurse measures a client's 24-hour fluid intake and documents the findings. To be an accurate indicator of fluid status, what must the nurse also do with the information?
A) Compare the client's intake with the normal range of adult fluid intake.
B) Report the exact milliliter of intake to the physician's office nurse.
C) Compare the total intake and output of fluids for the 24 hours.
D) Ensure that the information is included in the verbal end-of-shift report.
Ans: C
The nurse must pay attention to certain parameters when assessing a client's fluid status. This means comparing the total intake and output of fluids for a given period of time.
You might also like to view...
A patient has been prescribed phenazopyridine (Pyridium) for urinary tract symptoms related to the infection. The patient asks why she is taking this medication. What is the most appropriate response by the nurse?
A) "The medicine is used to treat urinary retention." B) "The medicine will stop the blood in the urine." C) "The medicine will decrease the pain." D) "The medicine will prevent hesitancy."
The nurse thoroughly dries the infant immediately after birth primarily to:
a. Stimulate crying and lung expansion. b. Remove maternal blood from the skin surface. c. Reduce heat loss from evaporation. d. Increase blood supply to the hands and feet.
A nurse is caring for a patient who is from a different culture than the nurse. According to Campinha-Bacote, what is the nurse's first action when providing culturally aware care to the patient?
1. Self-reflection 2. Self-promotion 3. Self-recognition 4. Self-introduction
A physician's order is not needed to apply special hosiery on the postoperative patient.
Answer the following statement true (T) or false (F)