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Doctors Medicines MCQs Q&A

A client with a very dry mouth, skin, and mucous membranes is diagnosed with dehydration. Which intervention should the nurse perform when caring for a client diagnosed with fluid volume deficit?

A client with a very dry mouth, skin, and mucous membranes is diagnosed with dehydration. Which intervention should the nurse perform when caring for a client diagnosed with fluid volume deficit? Correct Answer Assessing urinary intake and output.

Concept:-

  • Excessive loss of fluids and electrolytes in stool, increase in liquidity.
  • Loose or watery stools, excessively frequent stools, or stools that are large in volume.

  • Fluid Volume Deficit: it is a state or condition where the fluid output exceeds the fluid intake. It occurs when the body loses both water and electrolytes from the ECF in similar proportions.

Signs and symptoms:

  • Abdominal cramps or pain.
  • Bloating.
  • Vomiting.
  • Fever.
  • Blood in the stool.
  • Mucus in the stool.
  • Urgent need to have a bowel movement.


Important Points

  • For a client with low fluid volume, it is necessary to assess the client's urine output (using a urometer) to ensure an output of at least 30 ml/h.
  • Assess the color and amount of urine.
  • Report urine output of less than 30 ml/hr for 2 consecutive hours. A normal urine output that is not less than 30 ml/hour is considered normal.
  • Concentrated urine indicates a lack of fluid

Key Points

  • Clients should be weighed daily, not weekly, and at the same time each day, usually in the morning.
  • Monitoring of ABG is not necessary for this client. Instead, the serum electrolyte level will most likely be evaluated. Monitor serum electrolytes and urinary osmolarity, and report abnormal values.
  • The client has an IV Rate of at least 75 ml/h, if not more, to correct fluid volume deficits.

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