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What interventions are recommended for a patient with fluid restriction (500 to 600 mL/24 hours), sodium replacement, and diuretics?

a) Increased fluid intake
b) Sodium restriction
c) Fluid restriction
d) Diuretics administration

1 Answer

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Final answer:

The most appropriate intervention for a patient with a fluid restriction and on diuretics with sodium replacement is fluid restriction (option c). This helps manage the precise balance of fluid and electrolytes in the body, particularly in conditions like congestive heart failure or hypertension.

Step-by-step explanation:

The recommended intervention for a patient with fluid restriction (500 to 600 mL/24 hours), sodium replacement, and diuretics is c) Fluid restriction. This intervention aligns with the need to control fluid intake to manage conditions such as congestive heart failure, hypertensive diseases, or fluid overload states. Diuretics, such as hydrochlorothiazide, are prescribed to increase urine volume and reduce excess fluid. They often act on parts of the kidney, such as the distal convoluted tubule (DCT), by inhibiting the reabsorption of sodium and chloride, which leads to water being excreted by osmosis. Sodium replacement may also be necessary if the sodium levels are too low, due to the diuretic effects or other conditions, but must be carefully managed to prevent exacerbating fluid retention.

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