A fluid balance total that hides a trend
RN OSCE practice station

Documentation & charts · 2 min to read · 8 min to perform

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She says her shoes feel tighter.

Eileen FraserMy ankles feel puffier.

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The task

Eileen Fraser has a prescribed daily fluid limit and a partially completed intake/output record. She says her shoes feel tighter. Reconcile the recorded totals, assess the resident and document a clinically useful review plan. Do not change the fluid limit. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone.

What this station tests

  • Always state the period covered by a fluid balance total.
  • An unmeasured drink is a limitation, not a number to guess.
  • Interpret the record with weight, oedema and breathing, and seek review before changing treatment.

Sources for the clinical content

An original practice scenario with invented patients. Not an exam question.

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