A client voided clear, yellow urine.

The client is dehydrated.

The client has a urinary tract infection.

The client has normal urine output.

The client has kidney stones.

Answer and Explanation

The Correct Answer is C

Choice A rationale
The client is dehydrated. Dehydration typically results in concentrated, dark yellow urine. Clear, yellow urine indicates that the client is well-hydrated and not dehydrated. Dehydration would cause the urine to be more concentrated and darker in color due to the reduced volume of water in the body.
Choice B rationale
The client has a urinary tract infection. A urinary tract infection (UTI) often causes urine to appear cloudy, foul-smelling, or tinged with blood. Clear, yellow urine is not indicative of a UTI. UTIs are usually associated with symptoms such as pain or burning during urination, frequent urination, and cloudy or bloody urine.
Choice C rationale
The client has normal urine output. Clear, yellow urine is a sign of normal urine output and indicates that the client is well-hydrated. Normal urine color ranges from pale yellow to amber, depending on the concentration of the urine. Clear, yellow urine suggests that the client is drinking an adequate amount of water and maintaining proper hydration.
Choice D rationale
The client has kidney stones. Kidney stones can cause urine to appear cloudy, pink, red, or brown due to the presence of blood. Clear, yellow urine is not indicative of kidney stones. Symptoms of kidney stones include severe pain in the back or side, blood in the urine, and frequent urination. Clear, yellow urine suggests that the client does not have kidney stones.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E","F"]

Explanation

Choice A rationale
Double-checking all dosage calculations is a crucial error prevention technique. It helps ensure that the correct dose is administered and reduces the risk of medication errors. This step is especially important for medications like insulin, where precise dosing is critical.
Choice B rationale
This option seems incomplete and does not provide a clear error prevention technique. Therefore, it is not considered a correct choice.
Choice C rationale
Comparing the medication label to the order is essential to verify that the correct medication is being administered. This step helps prevent errors related to administering the wrong medication.
Choice D rationale
Using at least two client identifiers before administering a dose is a standard safety practice. It ensures that the medication is given to the correct patient and helps prevent errors related to patient misidentification.
Choice E rationale
Involving and educating clients in medication administration can help prevent errors by ensuring that clients are aware of their medications and can alert healthcare providers to any discrepancies. This collaborative approach enhances patient safety.
Choice F rationale
Documenting all medication in the electronic record as soon as it is given is crucial for maintaining accurate and up-to-date records. This practice helps prevent duplicate dosing and ensures that all healthcare providers have access to the most current information.

A. Administering the medication to a client behind a closed curtain. B. Informing a client that the medication being administered is a vitamin. C. Placing a client in restraints without having a healthcare provider’s order. D. Enlisting security personnel to assist with restraining the client.

Correct Answer is B

Explanation

Choice A rationale
Administering the medication to a client behind a closed curtain may provide privacy but does not address the ethical and legal implications of administering medication without proper consent or informing the client of the medication’s true nature.
Choice B rationale
Informing a client that the medication being administered is a vitamin is deceptive and unethical. It violates the principle of informed consent, which requires that patients be fully informed about the medications they are receiving, including their purpose and potential side effects.
Choice C rationale
Placing a client in restraints without a healthcare provider’s order is a violation of patient rights and can be considered an assault. Restraints should only be used when absolutely necessary and with proper authorization to ensure the safety of the patient and staff.
Choice D rationale
Enlisting security personnel to assist with restraining the client may be necessary in some situations to ensure safety. However, it should be done following proper protocols and with the appropriate orders from a healthcare provider.

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A client voided clear, yellow urine.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The primary nurse went on break at 1845.The covering nurse gave a second dose of insulin because of being unaware the primary nurse gave the ordered dose. Which error prevention techniques would have helped to avoid this?

Correct Answer is ["A","C","D","E","F"]

Explanation

The nurse is preparing to give an emergency sedative injection to an agitated client. Which action by the nurse comprises a fort?

Correct Answer is B

Explanation

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