The nurse develops a nursing diagnosis of "fluid volume excess related to sodium retention secondary to steroid therapy as evidenced by weight gain of 12 pounds in 2 weeks and edema of lower extremities." Which goal is most appropriate?
a. Patient will verbalize importance of low-sodium diet.
b. Ankle circumference will be measured for edema daily.
c. Patient's fluid volume will decrease as evidenced by discontinuing steroids.
d. Patient will have improved fluid balance as evidenced by weight returning to baseline.
ANS: D
Having improved fluid balance as evidenced by weight returning to baseline addresses the problem. A. B. Verbalizing the importance of a low-sodium diet and measuring ankle circumference daily are actions. C. Discontinuing steroids is not evidence of improved fluid volume.
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