Crucial Exams

NCLEX RN Practice Question

A nurse is caring for a client who has been receiving intravenous fluids for dehydration. During the shift, the client’s oral intake is recorded at 500 mL, and their urinary output is 200 mL. Which action should the nurse take first?

  • Take another urinary output measurement at the next scheduled time

  • Evaluate for other symptoms of fluid retention or deficit (e.g., edema, hypotension, respiratory changes)

  • Decrease the intravenous fluid rate to reduce fluid intake

  • Document findings and report them to the next shift nurse for follow-up

NCLEX RN
Physiological Integrity
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