Answered

The nurse provides care for multiple patients in an acute care setting. Which patient is likely to require a daily weight assessment? Select all that apply.


AA patient with a suppressed appetite from medication
BA patient who is being treated for generalized edema
CA patient with a history of heart disease
DA patient who is on fluid restrictions for kidney disease
EA bedfast patient with sacral pressure injuries

Verified Answer :

Final answer:

Daily weight assessments are critical for patients affected by conditions like generalized edema, heart disease, and those on fluid restrictions for kidney disease. These conditions directly link to fluid balance and nutritional status, making regular monitoring essential. Patients with suppressed appetite and bedfast patients may need less frequent assessment unless issues arise.


Explanation:

Patient Weight Assessment in Acute Care

In an acute care setting, daily weight assessments are crucial for monitoring certain patients' health statuses, particularly those at risk for fluid imbalance, nutrition issues, or other medical concerns. Here’s a breakdown of the patients listed and the rationale for daily weight assessments:

  1. A patient with a suppressed appetite from medication: This patient may not be receiving adequate nutrition, leading to potential weight loss or alterations in fluid balance, necessitating weight assessment.
  2. A patient who is being treated for generalized edema: Monitoring weight is critical for this patient, as changes may indicate fluid retention or loss, which could impact their treatment plan.
  3. A patient with a history of heart disease: This patient may need regular weight assessments to monitor potential heart failure or fluid overload, which is common in such cases.
  4. A patient who is on fluid restrictions for kidney disease: Daily weight checks are essential here to ensure that the patient is not gaining weight due to fluid retention, which would require intervention.
  5. A bedfast patient with sacral pressure injuries: While this patient may require monitoring for nutritional status and potential weight loss due to immobility, daily weight assessment might not be as critical unless there are ongoing concerns regarding nutrition or hydration.

In conclusion, the patients likely to require a daily weight assessment are: the patient being treated for generalized edema, the patient on fluid restrictions for kidney disease, and the patient with a history of heart disease. Each of these conditions has a direct correlation with weight changes that could impact their treatment and recovery.


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