A patient scheduled for dialysis is on a fluid restriction of 1000 mL/day
The nurse sees the patient drinking a 55 mL soft drink after the patient has already reached the maximum intake of fluid for the day. The nurse has instructed the patient on the risks of fluid overload. What action should the nurse take?
A) Take the soft drink away from the patient and inform the dialysis nurse to remove extra fluid from the patient during their next dialysis treatment.
B) Document the patient's behavior as noncompliant and notify the physician.
C) Restrict the patient's fluid for the following day and communicate this information to the charge nurse.
D) Reinforce the importance of the fluid restriction, and document the teaching and the intake of extra fluid.
Ans: D
Feedback: Management of chronic conditions includes learning to live with symptoms or disabilities and coming to terms with identity changes resulting from having a chronic condition. It also consists of carrying out the lifestyle changes and regimens designed to control symptoms and to prevent complications. Although it may be difficult for nurses and other health care providers to stand by while patients make unwise decisions about their health, they must accept the fact that the patient has the right to make his or her own choices and decisions about lifestyle and health care.
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