Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Gastrointestinal

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The nurse can quickly assess volume depletion in a client with ulcerative colitis by:
  1. Measuring the quantity and specific gravity of the client’s urine output
  2. Taking the client’s blood pressure first supine, then sitting, noting any changes
  3. Comparing the client’s present weight with weight on a previous admission
  4. Administering the oral water test
Explanation
Answer - B - Taking the client’s blood pressure first supine, then sitting, and noting any changes. Postural blood pressure readings are an excellent mode of assessing volume depletion. If the systolic blood pressure decreases more than 10 mmHg and there is a concurrent increase in the pulse rate, a volume depletion problem is indicated.
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