Which nursing intervention would the nurse expect to implement in a patient with isotonic fluid excess?
A) Provide a 2- to 4-gram sodium diet.
B) Encourage fluid intake.
C) Monitor intake and output.
D) Position the patient flat in bed.
C) Monitor intake and output.
Explanation: A) Treatment is aimed at restricting fluid intake and correcting the underlying etiology. Loop diuretics such as furosemide may be indicated to promote the excretion of sodium and fluid. A fluid restriction as well as limiting of sodium intake may also be necessary to prevent the need for ongoing fluid replacement. Optimal nursing care of the patient with isotonic fluid excess includes monitoring fluid intake and output, weighing the patient daily, assessing respirations to listen for crackles or rales, assessing skin for peripheral edema, monitoring responses to medication therapy with diuretics, promoting rest, and utilizing semi-Fowler positioning for orthopnea in symptomatic patients.
B) Treatment is aimed at restricting fluid intake and correcting the underlying etiology. Loop diuretics such as furosemide may be indicated to promote the excretion of sodium and fluid. A fluid restriction as well as limiting of sodium intake may also be necessary to prevent the need for ongoing fluid replacement. Optimal nursing care of the patient with isotonic fluid excess includes monitoring fluid intake and output, weighing the patient daily, assessing respirations to listen for crackles or rales, assessing skin for peripheral edema, monitoring responses to medication therapy with diuretics, promoting rest, and utilizing semi-Fowler positioning for orthopnea in symptomatic patients.
C) Treatment is aimed at restricting fluid intake and correcting the underlying etiology. Loop diuretics such as furosemide may be indicated to promote the excretion of sodium and fluid. A fluid restriction as well as limiting of sodium intake may also be necessary to prevent the need for ongoing fluid replacement. Optimal nursing care of the patient with isotonic fluid excess includes monitoring fluid intake and output, weighing the patient daily, assessing respirations to listen for crackles or rales, assessing skin for peripheral edema, monitoring responses to medication therapy with diuretics, promoting rest, and utilizing semi-Fowler positioning for orthopnea in symptomatic patients.
D) Treatment is aimed at restricting fluid intake and correcting the underlying etiology. Loop diuretics such as furosemide may be indicated to promote the excretion of sodium and fluid. A fluid restriction as well as limiting of sodium intake may also be necessary to prevent the need for ongoing fluid replacement. Optimal nursing care of the patient with isotonic fluid excess includes monitoring fluid intake and output, weighing the patient daily, assessing respirations to listen for crackles or rales, assessing skin for peripheral edema, monitoring responses to medication therapy with diuretics, promoting rest, and utilizing semi-Fowler positioning for orthopnea in symptomatic patients.
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