The single best indicator of a client's fluid status is the nurse's assessment of which one of the following?

a. The client's skin turgor
b. The client's intake and output
c. The client's serum electrolyte levels
d. The client's daily body weight


D
Daily weights are the single most important indicator of fluid status.
Skin turgor is a measure of hydration, but it is not the single best indicator of a client's fluid sta-tus.
Intake and output measurements are an important nursing intervention for monitoring fluid sta-tus; however, daily weights are the best indicator.
Serum electrolytes help monitor fluid status. Daily weights are the single best indicator of a cli-ent's fluid status.

Nursing

You might also like to view...

The occupational health nurse is called to the floor of the factory where a patient has sustained a flash burn to the right arm. The nurse arrives and the flames have been extinguished. The next step is to "cool the burn." How will the nurse cool the burn?

A) Apply ice to the site of the burn for 5 to 10 minutes. B) Wrap the patient's affected extremity in ice until help arrives. C) Apply an oil-based substance or butter to the burned area until help arrives. D) Wrap cool towels around the affected extremity intermittently.

Nursing

You are assessing attendees at a hospital health fair. A 15-year-old girl comes in for an assessment

You note that this girl's shoulders are not level, she does not have an asymmetric waistline, and she has a prominent scapula that is accentuated by bending forward. You would refer this patient to her primary care physician for what? A) Suspected lordosis B) Suspected kyphosis C) Suspected scoliosis D) Suspected spinal dystrophy

Nursing

During the preoperative assessment of the patient scheduled for a right cataract extraction and intraocular lens implantation, it is most important for the nurse to assess

a. the visual acuity of the patient's left eye. b. how long the patient has had the cataract. c. for a white pupil in the patient's right eye. d. for a history of reactions to general anesthetics.

Nursing

A mental health nurse is beginning her assessment of a teenager. What question would be appropriate for the situation?

1. "What types of experiences have caused a major change in your life recently?" 2. "What types of medication do you take?" 3. "Please tell me three things you like about yourself.". 4. All of the above are correct questions to ask in order to assess a teen.

Nursing