Which is the most reliable method for monitoring improvement when restoring fluid balance?
Vital signs
skin turgor
Daily input and output
Daily weights
The Correct Answer is D
A. Vital signs: Vital signs can reflect changes in fluid status, but they are not always sensitive to small shifts in fluid balance and can be affected by many other factors like medications.
B. Skin turgor: Skin turgor can be useful for assessing dehydration but is not a reliable indicator for tracking fluid balance over time, especially in older adults where skin elasticity naturally declines.
C. Daily input and output: Monitoring intake and output is useful, but it is not the most reliable for evaluating overall fluid balance, especially in cases of insensible loss or shifts in third spaces.
D. Daily weights: Weighing the patient daily is the most reliable method for monitoring fluid balance because it directly reflects changes in fluid retention or loss, particularly in acute or chronic conditions like heart failure or dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Flowrate(gtt/min) = Volume /Time× Dropfactor(gtt/mL)
Rate= 400ml /8hr ×60min/hr×60 gtt/mL
=400ml /480 × 60 gtt/mL
=50 gtt/min
Correct Answer is B
Explanation
A. Hypotension: Hypercalcemia (high calcium levels) typically causes increased blood pressure, not hypotension.
B. Decreased deep tendon reflexes: High calcium levels can depress neuromuscular function, leading to diminished or absent deep tendon reflexes. This is a common finding in hypercalcemia.
C. Diarrhea: Hypercalcemia is more commonly associated with constipation, not diarrhea.
D. Increased appetite: Hypercalcemia does not cause increased appetite. It often leads to symptoms such as nausea, vomiting, or a reduced appetite.
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