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The pn plans to observe helen for orthostatic vital sign changes
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The nurse discusses factors that contributed to the fluid volume deficit with Donna and her daughter. Age-related Risk Factors (Title) Which problem often occurs in the elderly and may have contributed to the fluid volume deficit Donna is experiencing? - Decreased hepatic blood flow.
What's the best way to measure fluid balance?
- Position Donna in a supine position. - Elevate the head of Donna's bed. - Dangle Donna's feet at the bedside. Position Donna in a supine position. Rationale: Orthostatic vital signs are measured in each position: lying, sitting, standing.
How tall is inelastic turgor in fluid balance?
Inelastic turgor is an expected finding in a client with fluid volume deficit. Additional findings may include weakness, confusion, and tachycardia. Math Donna's daughter reports that her mother usually weights 137 lbs (62.14 kg) and is 5' 3" (160 cm) in height.
How does the nurse document Clara's fluid balance?
The nurse also observes that Clara's feet and ankles are swollen. When the nurse presses a finger over the client's ankle (bony prominence), a 4 mm indentation appears. How will the nurse document this finding?
Last Update: Oct 2021
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