Author Question: A nurse measures a client's 24-hour fluid intake and documents the findings. To be an accurate ... (Read 128 times)

craiczarry · **on:** Jul 23, 2018

A nurse measures a client's 24-hour fluid intake and documents the findings. To be an accurate indicator of fluid status, what must the nurse also do with the information?

A) Compare the client's intake with the normal range of adult fluid intake.
B) Report the exact milliliter of intake to the physician's office nurse.
C) Compare the total intake and output of fluids for the 24 hours.
D) Ensure that the information is included in the verbal end-of-shift report.

Question 2

A client has an order to restrict fluids. What is one comfort measure nurses can implement for this client to alleviate a common problem?

A) Back rubs
B) Chewing gum
C) Hair care
D) Oral hygiene

Tonyam972 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
The nurse must pay attention to certain parameters when assessing a client's fluid status. This means comparing the total intake and output of fluids for a given period of time.

Answer to Question 2

Ans: D
Clients with restrictions on fluid intake often complain of thirst or a dry mouth. Provide oral hygiene at regular intervals. Offering hard candy or gum is no longer recommended.