Monitoring intake and output helps evaluate fluid and electrolyte…

Monitoring intake and output helps evaluate fluid and electrolyte status. The physician may order intake and output assessment after surgery or when evaluating a medical problem, such as congestive heart failure. Nurses may independently monitor a patient’s intake and output when indicated. Read the scenario and answer the questions that follow.

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A home care nurse visits an elderly patient with chronic heart failure. In addition to other cardiac medications, the patient is also prescribed diuretics. While performing a physical assessment, the nurse notes the patient’s low blood pressure, dry mucous membranes, and skin. The patient also reports decreased urination, both amount and frequency. 

a. What does this assessment finding indicate?

b. What interventions may be necessary?

Explanation & Answer

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