The nurse caring for a patient with suspected renal dysfunction is assessing ankle and sacral edema and the presence of crackles in the bases of the lungs bilaterally
A daily weight indicates that the patient's weight has increased by 5 pounds in the past 24 hours. The nurse notes that evaluation of the patient's intake and output records for the prior 24 hours indicate greater fluid intake than urine output. Based upon the assessment findings and the daily weight information, the nurse estimates that the patient has retained how much fluid?
A) 1258 mL of fluid in 24 hours
B) 2273 mL of fluid in 24 hours
C) 2500 mL of fluid in 24 hours
D) 5000 mL of fluid in 24 hours
Ans: B
Feedback: An increase in body weight commonly accompanies edema. To calculate the approximate weight gain from fluid retention, remember that 1 kg of weight gain equals approximately 1000 mL of fluid. Note that the patient is demonstrating a 5-pound weight gain from the prior day's weight. Calculate the fluid gain for this patient as follows:
5 pounds / 2.2 kg = 2.272 kg × 1000= 2273 mL of fluid
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