Which nursing diagnosis is indicated by these assessments? For the past 24 hours, a client with dry skin and dry mucous membranes has had a urine output of 600 ml and a fluid intake of 800 ml. The client's urine is dark amber.
A. Impaired urinary elimination B. Deficient fluid volume C. Imbalanced nutrition: Less than body requirements D. Excess fluid volume
Many things can be determined by the appearance of someone’s urine and stool. Typically speaking, the darker the urine, the more dehydrated someone is. There may be times when someone does not get enough fluids. Either they have not been around water or they could just not be very thirsty.
Either way, they should be getting more fluids into their system. When they urinate, they will most likely be able to tell that they need more fluid. Their urine will be dark. If a patient has dry skin and dry mucous membranes, then the patient may suffering from a deficient fluid volume. The nurse would monitor the input of fluids versus the output of urine. This client has an output of six hundred milliliters and an input of eight hundred milliliters.
Deficient fluid volume -rationale: dark, concentrated urine, dry mucous membranes, and a urine output of less than 30 ml/hour (720 ml/24 hours) are symptoms of dehydration or deficient fluid volume. decreased urine output is related to deficient fluid volume, not impaired urinary elimination. nothing in the scenario suggests a nutritional problem. if a fluid volume excess were present, manifestations would most likely include signs of fluid overload such as edema.client needs category: physiological integrityclient needs subcategory: basic care and comfortcognitive level: analysisreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 941.