Author Question: A nurse needs to document an accurate fluid output assessment of an acutely ill client. Which of the ... (Read 36 times)

Sufayan.ah · **on:** Jul 22, 2018

A nurse needs to document an accurate fluid output assessment of an acutely ill client. Which of the following actions should the nurse perform?

A) Weigh the volume of IV fluid before instilling.
B) Weigh the client's wet linen or dressing.
C) Weigh the client without soiled incontinence pads.
D) Weigh the client before and after meals.

Question 2

A nurse needs to administer an intramuscular injection to a thin and frail elderly client. Which of the following actions should the nurse perform to avoid striking the bone when injecting?

A) Massage the injection site.
B) Pinch the muscular tissue.
C) Obtain an x-ray of the injection site.
D) Inject using subcutaneous rather than intramuscular technique.

aprice35067 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
In cases in which accurate assessment is critical to a client's treatment, the nurse weighs wet linens, pads, or dressings and subtracts the weight of a similar dry item. The nurse does not weigh the client without soiled incontinence pads or weigh the client before and after meals to obtain an accurate assessment of the fluid output.

Answer to Question 2

B
Feedback:
The muscular tissue should be pinched together to avoid striking the bone when administering an intramuscular injection, if the older person has decreased subcutaneous fat. Massaging the injection site will not help avoid the possibility of striking the bone. Performing the injection using a subcutaneous rather than intramuscular technique is not done because injection techniques are not interchangeable. It is not common practice to obtain an x-ray for administering an injection.