older dient with a history of heart failure (HF) was admitted with flu-like symptoms two days ago and remains unable to hydrate oraly. The client is receiving a fuid bolus and a continuous intravenous infusion at 75 mL/hr. Which finding indicates to the nurse that the clents fuid status should be reassessed? • A Average daily urinary output of 1,200 mL O B Capillary refill measured at 3 seconds O C Heart rate 110 beats/minute and dyspea on exertion. O D Episodes of vertigo and loss of balance.
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A. Average daily urinary output of 1,200 mL: This output is within a normal range for an adult, suggesting that the kidneys are functioning adequately and the client is excreting fluids appropriately. This does not immediately suggest fluid overload or Show more…
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A medical/surgical nurse is completing the admission assessment on a client diagnosed with a urinary tract infection. The client's admitting weight is 165 lb (74.8 kg). The vital signs are as follows: temperature 96°F (35.6°C), pulse 110, respirations 20, and blood pressure 88/56 mmHg. The client received 3 L of normal saline in the emergency department. The total urine output for the past 2 hours is 20 mL via Foley catheter. Which intervention should the nurse recommend to the primary healthcare provider?
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