Which assessment parameter does the nurse monitor in a client with chronic kidney disease to determine fluid and sodium retention status?
a. Capillary refill
b. Intake and output
c. Muscle strength
d. Weight and blood pressure
D
Weight and blood pressure are helpful in estimating fluid and sodium retention. Weight and blood pressure rise with excess fluid and sodium. Weight is the most accurate noninvasive as-sessment for fluid status and therefore sodium status. Capillary refill also gives information on perfusion and oxygenation so is not specific for fluid status. Intake and output are part of the assessment for fluid status but do not account for insensitive water losses. Muscle strength is unrelated.
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