The nurse hears in intershift report that a client receiving parenteral nutrition (PN) at 100 mL/hr has bilateral crackles and 1+ pedal edema. When the nurse obtains a daily weight, the nurse notes that the client has gained 4 lb in 2 days. Which of the following nursing actions should the nurse take first?

Question

Quizplus · Accepted Answer

Comparing the intake and output records of the last 2 days is the first step in assessing fluid balance, which is crucial given the signs of fluid overload (bilateral crackles, pedal edema, and rapid weight gain). This will help determine the cause of the symptoms and guide further interventions.

The Nurse Hears in Intershift Report That a Client Receiving