A nurse is delegating the collection of urinary output to an assistive personnel (AP). What should the nurse tell the AP to do while measuring the urine?
Tell the client to wash the urethra before voiding.
Wear gloves when handling a client's urine.
Use a clean measuring cup for each voiding
Compare the amount of output with intake
The Correct Answer is B
a) Tell the client to wash the urethra before voiding: While it is important for patients to maintain hygiene, instructing them to wash the urethra is not a necessary step for APs collecting urine output. It is important for the AP to focus on measuring output.
b) Wear gloves when handling a client's urine: The AP should always wear gloves when handling bodily fluids, including urine, to prevent contamination and the spread of infection.
c) Use a clean measuring cup for each voiding: Using a clean measuring cup is important for accurate measurements, but the focus here should be on wearing gloves and correctly measuring the urine.
d) Compare the amount of output with intake: Comparing output with intake is the responsibility of the nurse, not the AP. The AP should focus on collecting and accurately measuring the urine output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Fluid retention: A weight increase of 6 pounds in 1 day is significant and may indicate fluid retention, which is commonly seen in conditions like heart failure or kidney disease.
b) Increased nutritional intake: A 6-pound weight gain is unlikely to be due to nutritional intake alone, especially over just a two-day period. This would more likely be seen over a longer timeframe.
c) Anorexia: Anorexia is associated with weight loss, not weight gain.
d) Weight loss: The patient has gained weight, not lost it.
Correct Answer is ["20"]
Explanation
To convert weight from pounds to kilograms, divide by 2.2.
Weightinkg = Weightinlbs ÷2.2
= 44÷ 2.2
= 20 kg
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