NCLEX-RN · Question #749
A child has a nursing diagnosis of fluid volume excess related to compromised regulatory mechanisms. Which of the following nursing interventions is the most accurate measure to include in his care?
The correct answer is A. Weigh the child twice daily on the same scale. (A) Although all of these interventions are important aspects of care, weight is the most sensitive indicator of fluid balance. (B) Although monitoring intake and output is important, weight is a more accurate indicator of fluid (C) Urine specific gravity does not necessarily…
Question
A child has a nursing diagnosis of fluid volume excess related to compromised regulatory mechanisms. Which of the following nursing interventions is the most accurate measure to include in his care?
Options
- AWeigh the child twice daily on the same scale.
- BMonitor intake and output.
- CCheck urine specific gravity of each voiding.
- DObserve for edema.
How the community answered
(45 responses)- A71% (32)
- B16% (7)
- C4% (2)
- D9% (4)
Explanation
(A) Although all of these interventions are important aspects of care, weight is the most sensitive indicator of fluid balance. (B) Although monitoring intake and output is important, weight is a more accurate indicator of fluid (C) Urine specific gravity does not necessarily indicatefluid volume excess. (D) Edema may not be apparent, yet the client may have fluid volume excess.
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