Which assessment technique would be the best for the nurse to use to determine the adequacy of circulation in a client whose blood osmolarity is 250 mOsm/L?
A. Checking urine output
B. Measuring abdominal girth
C. Monitoring fluid intake
D. Comparing the radial pulse with the apical pulse
A
The blood osmolarity is low. The client could be dehydrated (hypo-osmolar dehydration) or overhydrated, with dilution of blood solute. The most sensitive, noninvasive indicator of circula-tion adequacy is urine output.
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