Which does the nurse use to determine a potential contributor to fluid volume deficit?

1. The client works on road construction.
2. The client complains of an intense thirst.
3. The client takes corticosteroids every day.
4. The client has an indwelling urinary catheter.


1
1. A client who works outdoors on construction is at risk for fluid volume deficit be-cause the client performs manual labor and probably perspires while working. This means that the client loses significant amounts of heat, electrolytes, and fluid in dia-phoresis (unless the temperature is consistently below 32° F), increasing the risk of fluid volume deficit.
2. A client complaining of thirst has a fluid volume deficit already.
3. Corticosteroids increase the risk of fluid volume excess because they cause fluid retention by retaining sodium.
4. An indwelling urinary catheter does not affect fluid volume status because it is a tool to measure urinary output precisely.

Nursing

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