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A Patient Has the Nursing Diagnosis of Deficient Fluid Volume

Question 25

Multiple Choice

A patient has the nursing diagnosis of Deficient Fluid Volume related to anorexia,nausea,vomiting,and excessive T-tube drainage related to cholecystitis.Which interventions should the nurse recommend be included in the plan of care? (Select all that apply.)


A) Monitor skin turgor.
B) Administer antiemetics as ordered.
C) Clamp T-tube for 2 hours each shift.
D) Monitor daily weight and intake and output.
E) Encourage use of incentive spirometer every hour while awake.
F) Contact the physician if T-tube drainage is greater than 150 mL within 24 hours of surgery.

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