Refer to the intake and output record in question 18 to determine the most influential contributor to the client's fluid status for the 24-hour period
1. Low urine output
2. Surgical drainage
3. IV fluid infusions
4. 7 AM to 3 PM period
3
3. The IV fluid infusion has the greatest influence on the client's fluid volume status because the client is taking oral liquids in substantial quantities. The record has no evidence of emesis so the client is absorbing the oral fluids and the ileostomy output are much less than the oral intake; both contribute to the accumulating intake because not enough output offsets the IV fluids. The client's daily oral intake is likely to be sufficient if the IV fluids are discontinued.
1. The client's urine output is not low; however, it is not keeping up with the intake even if insensible loss is factored into the totals.
2. The surgical drainage is a small amount and decreasing in volume.
4. The 7 AM to 3 PM period sets up the client for fluid volume excess; however, if the IV fluids were decreased or the urine output improved, the client could enjoy fluid balance by the end of the 24-hour period.
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