Which of the following interventions would be appropriate for a client with the nursing diagnosis of excess fluid volume?
1. Assess respiratory status and lung sounds every 4 hours and prn
2. Provide oxygen as prescribed
3. Monitor brain natriuretic peptide (BNP) level
4. Provide information about activity upon discharge
1. Assess respiratory status and lung sounds every 4 hours and prn
Rationale:
Interventions appropriate for the nursing diagnosis of excess fluid volume include assessing respiratory status and lung sounds every 4 hours and prn. Providing oxygen and monitoring BNP level are intervention appropriate for the diagnosis of decreased cardiac output. Providing information about activity upon discharge would be appropriate for the nursing diagnosis of activity intolerance.
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