The nurse is analyzing the intake and output record for a client being treated for dehydration
The client weighs 176 lbs. and had a 24-hour intake of 2,000 mL and urine output of 1,200 mL. Based on this data, which conclusion by the nurse is the most appropriate?
A) Treatment needs to include a diuretic.
B) Treatment has not been effective.
C) Treatment is effective and should continue.
D) Treatment has been effective and should end.
Answer: C
Urinary output is normally equivalent to the amount of fluids ingested; the usual range is 1,500-2,000 mL in 24 hours, or 40-80 mL in 1 hour (0.5 mL/kg per hour). Clients whose intake substantially exceeds output are at risk for fluid volume excess; however, the client is dehydrated. The extra fluid intake is being used to improve body fluid balance. The client's output is 40 mL/hr, which is within the normal range. A diuretic is not needed because the client is being treated for dehydration. Treatment has been effective; however, it should continue until the intake and output are more balanced. Ending treatment now could further jeopardize this client's fluid balance.
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