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Jocenta Jocenta
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5 years ago
A patient with a history of coronary artery disease is admitted with vomiting, abdominal distention, and hypoactive bowel sounds. Which assessment would provide the nurse with the most accurate information about the patient's fluid volume status?
1. Skin turgor assessment
2. Hourly urine output measurements
3. Daily weights
4. Pulmonary artery catheter
Textbook 

High-Acuity Nursing


Edition: 6th
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hoggerhogger
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5 years ago
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Rationale 1: Skin turgor assessment is subjective and does not provide the more accurate information.
Rationale 2: Urine output is an acceptable method of assessing fluid status in most patients. However, it is not the most accurate assessment for this patient.
Rationale 3: Daily weights are used to assess fluid volume trends, but they are not the most accurate measurement for this patient.
Rationale 4: The patient has a history of coronary artery disease. The best way to determine fluid volume status and needs in this type of patient is by tracking central venous pressure. This measurement is achieved through placement of a pulmonary artery catheter.
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