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measuring and recording intake and output or IO is the key to accurate assessment and monitoring a fluid and electrolyte balance begin by performing hand hygiene ensure the patients privacy and introduce yourself mr. Bert yes hi my name is Amy Im gonna be your nurse then identify the patient using to identify errs can you give me your full name Helen Stewart in your birthday 515 1942 okay Im going to check your blood pressure okay okay Im gonna check your pulse so you can just keep that youre relaxed assess for signs of fluid imbalance such as changes in blood pressure heart rate or skin turgor youll need to weigh your patient daily and check for changes in urine specific gravity and hematocrit level if those lab results are available okay thank you then Im gonna move your tray back I hate your call light if you need anything okay then Ill be back to check on you in a little while okay okay thank you thank you Stuart are you finished with your tray yes I am okay Im gonna writ