An oncology nurse recognizes a patient's risk for fluid imbalance while the patient is undergoing treatment for leukemia. What relevant assessments should the nurse include in the patient's plan of care? Select all that apply
A) Monitoring the patient's electrolyte levels
B) Monitoring the patient's hepatic function
C) Measuring the patient's weight on a daily basis
D) Measuring and recording the patient's intake and output
E) Auscultating the patient's lungs frequently
Ans: A, C, D, E
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Assessments that relate to fluid balance include monitoring the patient's electrolytes, auscultating the patient's chest for adventitious sounds, weighing the patient daily, and closely monitoring intake and output. Liver function is not directly relevant to the patient's fluid status in most cases.
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