For the Accurate Measurement to Detect Fluid Retention, the Nurse

question 29

Multiple Choice

For the accurate measurement to detect fluid retention, the nurse instructs the nursing assistants to measure the weight with the same scale:

• A) each morning before breakfast after the patient has voided.
• B) each day at noon before lunch, dressed in light clothing.
• C) in between meals, dressed in light clothing after voiding.
• D) just before bedtime, while the patient is in a hospital gown or pajamas.

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Definitions:

Lactated Ringer's

A solution used in intravenous therapy to replenish body fluids, supply electrolytes, and provide a source of lactate in various medical situations.

Intravascular Hemolytic Reaction

A medical condition where red blood cells are destroyed within the blood vessels, often due to an incompatible blood transfusion.

Blood Transfusion

The process of transferring blood or blood components from one person (donor) into the bloodstream of another person (recipient).

Normal Saline

A sterile solution of sodium chloride in water, commonly used as an intravenous infusion to hydrate patients or as a cleansing agent.