During the assessment of the patient, the nurse notices the presence of ankle and sacral edema and crackles in the bases of the lungs bilaterally
A daily weight indicates that the patient has gained 5 lbs since the daily weight performed the prior day. Evaluation of the patient's intake and output records for the prior 24 hours indicates greater fluid intake than urine output. Based upon these assessment findings and the daily weight information, the nurse estimates that the patient has retained:
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-lb weight gain from the prior day's weight. Calculate the fluid gain for this patient as follows:
5 lbs/2.2 kg = 2.272 kg x 1000 = 2273 mL of fluid.
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