CCRN Critical Care Nursing

Category - Pediatrics

A mother of a child with heart failure questions the necessity of weighing the baby everyday. The nurse’s best response should be guided by the fact that the daily weight is essential in determining:
  1. fluid retention
  2. nutritional status
  3. dosage of medication
  4. success of treatment
Explanation
Answer: A - Retention of fluid is reflected by excessive weight gain in just a short period of time. Insufficient cardiac output lowers flow to the kidneys that leads to intracellular fluid increase and hypervolemia. Weight gain or loss due to nutrition is gradual. Dosage of medication is not recalculated everyday based on weight gain.
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