The nurse is caring for a patient who is at risk for fluid overload as a result of a history of congestive heart failure. Which intervention will the nurse teach the patient to perform at home to monitor fluid balance?
a. "Check to make sure that your urine is a bright yellow color."
b. "Weigh yourself every morning before breakfast."
c. "Count your heart rate every evening before you go to bed."
d. "Drink plain water rather than soda, coffee, or fruit juice."
ANS: B
Checking the weight every morning before breakfast is a sensitive indicator of the patient's fluid volume status. Weight gain of 2 to 3 lb over 1 to 2 days generally indicates fluid retention and should be reported to the physician.
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Nurses, doctors, and all staff are precious resources and deserve to be supported in their work
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