Author Question: A client with heart failure is prescribed an oral fluid restriction of 1,200 mL per day. How many ... (Read 39 times)

cookcarl · **on:** Jun 25, 2018

A client with heart failure is prescribed an oral fluid restriction of 1,200 mL per day. How many ounces of fluid should the nurse teach the client is permitted during the daylight shift?

A) 200 mL
B) 300 mL
C) 400 mL
D) 600 mL

Question 2

The school nurse is preparing a class session for high school students on ways to maintain fluid balance during the summer months. Which interventions should the nurse recommend to decrease the risk of fluid imbalance?

Select all that apply.
A) Drink diet soda.
B) Drink more fluids during hot weather.
C) Drink flat cola or ginger ale if vomiting.
D) Reduce the intake of coffee and tea.
E) Exercise during the hours of 10 am and 2 pm.

apple · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

When calculating a fluid restriction, 50 of the total amount is allocated to the day shift. The remaining 50 can be either divided equally between the evening and night shift or 33 of the remaining volume can be provided on the evening shift with the balance used during the night shift. For a fluid restriction of 1,200 mL, the client is permitted 600 mL of fluid on the day shift. The balance of 600 mL would be split over the evening and night shifts. Depending upon the allocation, the client would either receive 300 mL for both the evening and night shifts or 400 mL of fluid for the evening shift and 200 mL for the night shift.

Answer to Question 2

Answer: B, C, D

Actions to prevent fluid volume deficit during the summer months include increasing fluid intake, drinking flat cola or ginger ale if vomiting, and reducing the intake of coffee and tea. Diet soda often contains caffeine. Exercising between the hours of 10 am and 2 pm, considered the hottest time of the day, should be avoided.