The nurse is planning the care of a patient with the risk of developing fluid volume deficit. Which of the following assessment findings would contribute to this risk?
1. loose bowel movement one per day
2. diuretic therapy two doses per day
3. first degree steam burn on forearm
4. temperature 97.6 degrees F
2
Rationale: The patient receiving two doses of diuretic therapy per day is at risk for high volumes of urine output which could increase the risk of developing a fluid volume deficit. Other causes of fluid volume deficit include diarrhea and not one loose bowel movement per day. Burns also can cause a fluid volume deficit but it is unlikely that a first degree burn on the forearm will produce these results. Fluid volume deficit is also associated with febrile states. The patient's temperature is below normal and therefore would not add to the risk of a fluid volume deficit.
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