The single best indicator of a patient's fluid status is the ...

[asd123]

The single best indicator of a patient's fluid status is the nurse's assessment of which one of the following?
 
  a. The patient's skin turgor
  b. The patient's intake and output
  c. The patient's serum electrolyte levels
  d. The patient's daily body weight

Question 2

Several clients are experiencing increased respiratory secretions and require intervention to assist in their removal. Chest percussion is indicated and appropriate for the client experiencing which one of the following?
 
  a. Thrombocytopenia
  b. Cystic fibrosis
  c. Osteoporosis
  d. Spinal fracture

[ansleighelindsey]

Answer to Question 1

D

Feedback
A Skin turgor is a measure of hydration, but it is not the single best indicator of a patient's fluid status.
B Intake and output measurements are an important nursing intervention for monitoring fluid status; however, daily weights are the best indicator.
C Serum electrolytes help monitor fluid status. Daily weights are the single best indicator of a patient's fluid status.
D Daily weights are the single most important indicator of fluid status.

Answer to Question 2

B
Chest percussion is recommended for a client who produces greater than 30 mL of sputum a day. It would be appropriate to assist the cystic fibrosis client in mobilizing the thick pulmonary se-cretions.
Percussion is contraindicated in clients with bleeding disorders, such as the client with thrombo-cytopenia.
Percussion is contraindicated in the client with osteoporosis.
Percussion is contraindicated in the client with a spinal fracture or with fractured ribs.

[asd123]

Gracias!

[ricroger]

Excellent