The nurse contributes to the plan of care for a patient with edema. Which action should the nurse take as the best indicator of this patient's fluid volume status?
a. Vital signs
b. Skin turgor
c. Daily weight
d. Intake and output
ANS: C
Daily weight is the single best indicator of fluid balance in the body. A. B. D. Vital signs, skin turgor, and intake and output are not the best indicators of fluid balance in the body.
You might also like to view...
A patient with fibromyalgia asks the nurse to suggest ways to help her with the pain she experiences when trying to have sex with her husband. Which of the following should the nurse instruct this patient?
a. use oxygen b. explore the patient's fears and anxieties c. explore alternative ways of sexual stimulation d. positions and prophylactic use of pain relievers
Which factor has had the greatest affect on the emphasis placed on nursing ethics?
A) Standards of Nursing Care B) The effects of global economics C) The nurse's role as Client Advocate D) Ever increasing culturally diverse populations
Measurement of the client's ability to differentiate between sharp and dull sensations over the forehead tests which cranial nerve?
A. Optic B. Facial C. Trigeminal D. Oculomotor
The nurse is caring for a postpartum patient. The patient's labor has lasted over 28 hours within the hospital; the patient has not slept and is disoriented to date and time. What is the most appropriate nursing diagnosis?
a. Impaired parenting b. Insomnia c. Ineffective coping d. Sleep deprivation