The nurse is analyzing the intake and output record for a client being treated for dehydration. The client weighs 176 lb and had a 24-hour intake of 2000 mL and urine output of 1200 mL. Based on this data, which conclusion by the nurse is the most appropriate?
A)Treatment needs to include a diuretic.
B)Treatment has not been effective.
C)Treatment is effective and should continue.
D)Treatment has been effective and should end.

Question

Quizplus · Accepted Answer

A)Urinary output is normally equivalent to the amount of fluids ingested; the usual range is 1500-2000 mL in 24 hours, or 40-80 mL in 1 hour (0.5 mL/kg per hour). Clients whose intake substantially exceeds output are at risk for fluid volume excess; however, this client is dehydrated, so the extra fluid intake is being used to improve body fluid balance. The client's output is 50 mL/hr, which is within the normal range. A diuretic is not needed because the client is being treated for dehydration. Treatment has been effective; however, it should continue until the intake and output are more balanced. Ending treatment now could further jeopardize this client's fluid balance.
B)Urinary output is normally equivalent to the amount of fluids ingested; the usual range is 1500-2000 mL in 24 hours, or 40-80 mL in 1 hour (0.5 mL/kg per hour). Clients whose intake substantially exceeds output are at risk for fluid volume excess; however, this client is dehydrated, so the extra fluid intake is being used to improve body fluid balance. The client's output is 50 mL/hr, which is within the normal range. A diuretic is not needed because the client is being treated for dehydration. Treatment has been effective; however, it should continue until the intake and output are more balanced. Ending treatment now could further jeopardize this client's fluid balance.
C)Urinary output is normally equivalent to the amount of fluids ingested; the usual range is 1500-2000 mL in 24 hours, or 40-80 mL in 1 hour (0.5 mL/kg per hour). Clients whose intake substantially exceeds output are at risk for fluid volume excess; however, this client is dehydrated, so the extra fluid intake is being used to improve body fluid balance. The client's output is 50 mL/hr, which is within the normal range. A diuretic is not needed because the client is being treated for dehydration. Treatment has been effective; however, it should continue until the intake and output are more balanced. Ending treatment now could further jeopardize this client's fluid balance.
D)Urinary output is normally equivalent to the amount of fluids ingested; the usual range is 1500-2000 mL in 24 hours, or 40-80 mL in 1 hour (0.5 mL/kg per hour). Clients whose intake substantially exceeds output are at risk for fluid volume excess; however, this client is dehydrated, so the extra fluid intake is being used to improve body fluid balance. The client's output is 50 mL/hr, which is within the normal range. A diuretic is not needed because the client is being treated for dehydration. Treatment has been effective; however, it should continue until the intake and output are more balanced. Ending treatment now could further jeopardize this client's fluid balance.

The Nurse Is Analyzing the Intake and Output Record for a Client