Nutrition, Hydration and Electrolytes · NCLEX Exam

What is the most appropriate strategy for managing hydration status in a critically ill patient with fluid overload?

  1. Give liberal fluid boluses to keep urine output high
  2. Use concentrated feeds with restricted free water and monitoring
  3. Provide isotonic saline as the only route of hydration
  4. Ignore fluid input because only electrolyte levels truly matter
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Correct answer: Use concentrated feeds with restricted free water and monitoring

In fluid-overloaded patients, concentrated feeds with restricted free water and monitoring total fluid balance and electrolytes are crucial.

Difficulty: Hard Question 3 of 20

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