When precepting a nursing student on the oncology unit about nursing responsibilities related to client fluid and electrolyte balance, the nurse recognizes which response by the student indicates a need for further clarification?
a. "Intake and output must be recorded."
b. "I should insert an indwelling catheter for accurate urine output readings."
c. "I need to encourage the client to drink fluids."
d. "I need to monitor the client's blood pressure."
ANS: B
Feedback
A Incorrect: This is an appropriate nursing action to address fluid and electrolyte balance.
B Correct: There is not a routine nursing action and would increase the risk of infection for the client.
C Incorrect: This is an appropriate nursing action to address fluid and electrolyte balance.
D Incorrect: This is an appropriate nursing action to address fluid and electrolyte balance.
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