A patient with congestive heart failure is at risk of excess fluid volume. Which intervention will best determine if the patient is beginning to have excess fluid volume?
Daily intake and output recordings
Daily weights
Daily blood pressure and heart rate checks
Daily CMP lab draw
The Correct Answer is B
Daily weights provide a reliable and accurate measure of fluid balance in the body. An increase in weight can indicate fluid retention and the need for further intervention. While daily intake and output recordings, blood pressure and heart rate checks, and CMP lab draws can also provide useful information, daily weights are the most effective way to monitor for excess fluid volume in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Deep breathing or "diaphragmatic breathing" is a technique used to prevent recurrent pneumonia and improve lung function. During deep breathing, the patient is instructed to inhale deeply, expanding their lung volume as much as possible. This process is called inspiration.
Expiration, on the other hand, is the process of exhaling or breathing out air from the lungs. Intake refers to the process of taking in air or breathing in, while chest is a part of the body where the lungs are located.
Correct Answer is C
Explanation
c. Sip the water he is allowed to have slowly to make it last throughout the day.
Option a is not recommended as hard candies may contain sugar and artificial sweeteners, which can be harmful to the patient's health.
Option b is not recommended because caffeinated tea has diuretic properties that can increase urine output, leading to further dehydration.
Option d is not recommended as Gatorade is a sports drink that contains high amounts of sugar and electrolytes, which can lead to fluid overload and imbalances.
Sipping the water slowly can help the patient moisten his mouth without going over his fluid restriction. This approach can also help him pace his fluid intake throughout the day, which can be beneficial for maintaining proper hydration levels and managing fluid overload.
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