A patient with cirrhosis has low serum albumin and dependent oedema. Which nursing intervention best helps monitor fluid retention?
Correct answer: A. Measure body weight at the same time each day
- A. Measure body weight at the same time each day
- B. Limit all oral fluids without a prescription
- C. Massage swollen legs vigorously every shift
- D. Use urine colour alone to estimate fluid balance
Explanation
Daily weight taken under consistent conditions is a sensitive measure of changes in total body fluid. Unprescribed fluid restriction may cause harm, vigorous massage may injure tissues, and urine colour alone is not a reliable measure of overall balance.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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