Which of the following is included in nursing interventions for fluid volume excess?

• A. Assess VS
• B. Ignore vital signs
• C. Draw blood for glucose
• D. Provide high-fat diet

Answer: (A)

Monitoring the patient’s fluid status relies on tracking their vital signs because these signs reflect how the circulatory and respiratory systems are handling the extra fluid. In fluid volume excess, the body can show rising blood pressure, faster heart rate, and increased respiratory rate or shallow breathing as fluid accumulates and edema develops. Regular assessment of these signs helps detect early deterioration, guides treatment decisions (like diuretics or fluid restriction), and lets you evaluate how well interventions are working.

The other options don’t fit because ignoring vital signs misses critical information about the patient’s status, drawing blood for glucose isn’t a direct measure or management step for fluid balance, and providing a high-fat diet doesn’t address fluid overload and isn’t a standard intervention for this condition.