ExamTopics Logo
Mail Us[email protected]
Menu
Test-Prep Discussions
exam questions

Exam NCLEX-RN All Questions

View all questions & answers for the NCLEX-RN exam
Go to Exam

Exam NCLEX-RN topic 7 question 55 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 55
Topic #: 7
[All NCLEX-RN Questions]

A child has a nursing diagnosis of fluid volume excess related to compromised regulatory mechanisms. Which of the following nursing interventions is the most accurate measure to include in his care?

  • A. Weigh the child twice daily on the same scale.
  • B. Monitor intake and output.
  • C. Check urine specific gravity of each voiding.
  • D. Observe for edema.
Show Suggested Answer Hide Answer
Suggested Answer: A 🗳️
(A) Although all of these interventions are important aspects of care, weight is the most sensitive indicator of fluid balance. (B) Although monitoring intake and output is important, weight is a more accurate indicator of fluid status. (C) Urine specific gravity does not necessarily indicatefluid volume excess. (D) Edema may not be apparent, yet the client may have fluid volume excess.
by [deleted] at March 10, 2025, 7:17 a.m.

Comments

Chosen Answer:
This is a voting comment (?). It is better to Upvote an existing comment if you don't have anything to add.
Switch to a voting comment New
Submit Cancel
Currently there are no comments in this discussion, be the first to comment!
Community vote distribution
A (35%)
C (25%)
B (20%)
Other
Most Voted
A voting comment increases the vote count for the chosen answer by one.

Upvoting a comment with a selected answer will also increase the vote count towards that answer by one. So if you see a comment that you already agree with, you can upvote it instead of posting a new comment.

SaveCancel