143. A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate monitoring of th...
143. A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate monitoring of the client's fluid status?
A. measuring and recording fluid intake and output.
B. Weighing the client daily at the same time each day.
C. Assessing the client's vital signs every 4 hours.
D. Checking the client's lungs for crackles during every shift.
Homework Answers
The best method to ensure the most accurate monitoring of the client's fluid status is to measure and record the fluid intake and output.
The weight of the client may vary due to food or any other factor too.
Vital signs like pulse, blood pressure are indirect measures of the fluid status.
Crackles are present in case of pulmonary edema which may or may not be present initially in case of fluid overload.
So best answer is A.
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