Asked by Casey Lizert on May 06, 2024
Verified
A patient receiving chemotherapy has gained 2 kg (5 pounds) in 2 days.Which assessment question by the nurse is most appropriate?
A) "Are you having difficulty sleeping at night?"
B) "How many calories a day do you consume?"
C) "Do you have dry mouth or feel thirsty?"
D) "How many times a day do you urinate?"
Chemotherapy
A type of cancer treatment that uses drugs to destroy cancer cells by stopping their ability to grow and divide.
Calorie Consumption
The total amount of calories ingested through eating and drinking, critical in weight management and energy balance.
Urinate
The process of excreting urine from the bladder through the urethra to the outside of the body.
- Recognize risk factors for developing fluid and electrolyte imbalances.
- Pinpoint the indicators and symptoms tied to distinct imbalances in fluid and electrolytes.
Verified Answer
RN
Rahma Nur AiniMay 12, 2024
Final Answer :
D
Explanation :
A rapid gain in weight usually indicates ECV excess if the person began with normal ECV.The patient's description of urination habits will indicate whether the body is trying to excrete the excess fluid or whether renal dysfunction is contributing to ECV excess.Difficulty sleeping at night can occur if the body builds up excessive fluid in the lungs;however,it could also mean that the patient is getting up frequently to urinate,so the question is not specific enough.Caloric intake does not account for rapid weight changes.Dry mouth and thirst accompany ECV deficit,which would be associated with rapid weight loss.
Learning Objectives
- Recognize risk factors for developing fluid and electrolyte imbalances.
- Pinpoint the indicators and symptoms tied to distinct imbalances in fluid and electrolytes.