The nurse is planning care for a patient with a fluid volume excess and a serum sodium level of 125 mg/dL. Which interventions should the nurse include in this patient's plan of care? (Select all that apply.)
a. Weigh daily.
b. Monitor strict intake and output.
c. Administer diuretics as prescribed.
d. Implement fluid restriction as prescribed.
e. Administer IV saline as prescribed.
ANS: A, B, C, D
A. B. C. D. For patients who have a fluid excess and a low sodium level, a fluid restriction is often ordered. Diuretics that rid the body of fluid but do not cause sodium loss may also be used. Intake and output are strictly monitored, and the patient is weighed daily. E. IV saline is indicated if the patient does not have a fluid volume excess.
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