A patient who undergoes hemodialysis three times weekly is on a fluid restriction of day. The nurse sees the patient drinking a (12 ounce) soft drink after the patient has already reached the maximum intake of fluid for the day. What action should the nurse take?
A) Take the soft drink away from the patient and inform the dialysis nurse to remove extra fluid from the patient during the next dialysis treatment
B) Document the patients behavior as noncompliant and notify the physician
C) Further restrict the patients fluid for the following day and communicate this information to the charge nurse
D) Reinforce the importance of the fluid restriction and document the teaching and the intake of extra fluid
Correct Answer:
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