A patient, diagnosed with acute kidney injury, is on a fluid restriction. Which of the following nursing interventions would be appropriate for this patient?
1. allow the patient to decide when the fluid will be ingested
2. frequent oral care
3. provide all fluid in the form of ice chips
4. provide fluids when the patient complains of thirst
2
Rationale: The nurse will need to decide about how to divide the available free-water over a 24-hour period for the patient on a fluid restriction. The nurse must consider the timing of medication administration and meals in order to ensure there is adequate fluid to perform necessary treatments. Since uremic patients may experience extreme thirst, oral fluids in small quantities often increase patient comfort. Oral care is an extremely important intervention to minimize oral mucosal damage and to increase patient comfort. Using small amounts of ice chips or frozen popsicles can provide comfort with less volume. The nurse should not let the patient decide when the fluid will be ingested since there might not be available fluid for medications and treatments. All fluid should not be provided in the form of ice chips. The patient could constantly complain of thirst which would negatively impact the patient's permitted fluid volume.
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