If Tiffany\'s weight declines and she is admitted to an eating disorders unit, which care plan element is most appropriate to monitor fluid status?

If Tiffany\'s weight declines and she is admitted to an eating disorders unit, which care plan element is most appropriate to monitor fluid status?

• A. Leisurely meals to promote decreased stress while eating.
• B. Accurate input and output to monitor fluid status.
• C. Large meals at frequent intervals to improve her nutritional status.
• D. Segregation from other adolescents with eating disorders.

Answer: (B)

Monitoring fluid status relies on accurate intake and output records. By carefully documenting every fluid consumed and every fluid excreted or lost (urine, vomitus, diarrhea, drains, IV fluids), the nurse can determine a patient’s fluid balance—whether they are dehydrated, overhydrated, or at risk of shifts during refeeding. In someone with an eating disorder, where fluid losses can come from vomiting or laxative use and where refeeding can cause rapid fluid shifts, this objective data is essential to guide hydration decisions, electrolyte monitoring, and overall safety. Daily weights, vital signs, and physical assessments can then be interpreted in light of the I&O data to catch problems early. Other options address meal pacing or social factors and do not provide the necessary data to assess and manage fluid status.

Monitoring fluid status relies on accurate intake and output records. By carefully documenting every fluid consumed and every fluid excreted or lost (urine, vomitus, diarrhea, drains, IV fluids), the nurse can determine a patient’s fluid balance—whether they are dehydrated, overhydrated, or at risk of shifts during refeeding. In someone with an eating disorder, where fluid losses can come from vomiting or laxative use and where refeeding can cause rapid fluid shifts, this objective data is essential to guide hydration decisions, electrolyte monitoring, and overall safety. Daily weights, vital signs, and physical assessments can then be interpreted in light of the I&O data to catch problems early.

Other options address meal pacing or social factors and do not provide the necessary data to assess and manage fluid status.