A client admited with heart failure requires careful monitoring of his fluid status. Which method will provide the nurse with the best indication of the client’s fluid status?
daily electrolyte monitoring
daily weights
output measurements
daily BUN and serum creatinine monitoring
The Correct Answer is B
Fluid retention is a common complication in heart failure, and monitoring the client's fluid status is crucial to manage the condition effectively. Daily weights are an essential component of monitoring fluid status and are the most sensitive and practical method to detect changes in the client's fluid status. Weight gain is a reliable indicator of fluid retention, and even small increases in weight can indicate the need for changes in the client's treatment plan.
Although electrolyte monitoring (option a), output measurements (option c), and daily BUN and serum creatinine monitoring (option d) can provide valuable information about the client's fluid status, they are not as sensitive or practical as daily weights. Electrolyte monitoring can help detect changes in fluid balance, but it does not provide a direct indication of fluid status. Output measurements can indicate fluid loss, but they do not provide an accurate assessment of fluid retention. BUN and serum creatinine monitoring can detect changes in renal function, but they are not specific to fluid status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
- Use of blankets, pillows, and stuffed animals in the crib: It is important to educate parents about the risk of suffocation associated with soft objects in the crib. Infants should always sleep on their back in a crib with a firm matress and no loose bedding or soft objects.
- Correct placement of car seats: Properly installed car seats can help prevent serious injury or death in the event of a car accident. It is important to teach parents how to properly install car seats and use them correctly.
- Never leaving infant unatended in the bathtub: Drowning is a leading cause of death in young children, and infants can drown in just a few inches of water. It is important to remind parents to never leave their infant unatended in the bathtub, even for a moment.
Therefore, options c, d, and e are the most important topics to include when discussing safety with parents of infants. Options a and b may be important topics to discuss with older children, but they are not relevant to infants.
Correct Answer is B
Explanation
: A client with renal disease may have impaired kidney function, which can affect fluid balance in the body. Giving fluids too quickly or increasing the infusion rate too quickly can lead to fluid overload,
which can exacerbate the client's condition. It is important for the nurse to monitor the amount of fluid the client is receiving to ensure that the infusion rate is appropriate for the client's condition and to prevent fluid overload. Checking the intravenous rate every two days is not sufficient; the nurse should monitor the rate regularly and adjust it as necessary based on the client's response.
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