A patient has recently been admitted to the orthopedic unit following total hip arthroplasty. The patient has a closed suction device in place and the nurse has determined that there were 320 mL of output in the first 24 hours
How should the nurse best respond to this assessment finding?
A) Inform the primary care provider promptly.
B) Document this as an expected assessment finding.
C) Limit the patient's fluid intake to 2 liters for the next 24 hours.
D) Administer a loop diuretic as ordered.
Ans: B
Feedback:
Drainage of 200 to 500 mL in the first 24 hours is expected. Consequently, the nurse does not need to inform the physician. Fluid restriction and medication administration are not indicated.
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