To monitor a client with fluid volume excess, which action helps ensure accurate weight tracking?

• A. Calibrate the scales weekly
• B. Weigh the client on arising
• C. Use a different scale each time
• D. Weigh the client without clothing

Answer: (D)

Daily weight tracking is a sensitive indicator of fluid status, so accuracy depends on removing variables that can alter weight. Weighing the client without clothing eliminates the extra weight that clothes contribute, which can vary from day to day and mask true fluid changes. When tracking fluid volume excess, this makes real gains or losses noticeable in the weight trend. For best reliability, perform the measurement at the same time each day (often in the morning) and use the same scale. Clothing and different scales introduce variability, making trends harder to interpret. By minimizing these factors—weighing without clothing—you get a true reflection of fluid shifts.