When emptying 350 mL of pale yellow urine from a client's urinal, the
nurse notes that this is the first time the client has voided in 4 hours.
Which action should the nurse take next?
A. Record the amount on the client's fluid output record.
B. Encourage the client to increase oral fluid intake.
C. Notify the health care provider of the findings.
D. Palpate the client's bladder for distention.
A
Rationale: The amount and appearance of the client's urine output is
within normal limits, so the nurse should record the output, but no
additional action is needed.
nurse notes that this is the first time the client has voided in 4 hours.
Which action should the nurse take next?
A. Record the amount on the client's fluid output record.
B. Encourage the client to increase oral fluid intake.
C. Notify the health care provider of the findings.
D. Palpate the client's bladder for distention.
A
Rationale: The amount and appearance of the client's urine output is
within normal limits, so the nurse should record the output, but no
additional action is needed.
