A Patient Has the Nursing Diagnosis of Deficient Fluid Volume

question 28

Multiple Choice

A patient has the nursing diagnosis of Deficient Fluid Volume related to anorexia,nausea,vomiting,and excessive T-tube drainage related to cholecystitis.Which interventions should the nurse recommend be included in the plan of care? (Select all that apply.)

• A) Monitor skin turgor.
• B) Administer antiemetics as ordered.
• C) Clamp T-tube for 2 hours each shift.
• D) Monitor daily weight and intake and output.
• E) Encourage use of incentive spirometer every hour while awake.
• F) Contact the physician if T-tube drainage is greater than 150 mL within 24 hours of surgery.

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Definitions:

Price Floor

A government- or authority-imposed minimum price that can be charged for a good or service, typically set above the equilibrium price to aid producers.

Subsidizing Federal

Financial support from the federal government to help reduce the cost of goods and services or to encourage investment in specific sectors.

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Selfishness

The act of putting one's own needs and desires above the needs of others.