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 D
Explanation
a) Chloride 100 mEq/L: A chloride level of 100 mEq/L is within the normal range (98-107 mEq/L) and would not be concerning in this context.
b) Sodium 138 mEq/L: A sodium level of 138 mEq/L is within the normal range (135-145 mEq/L) and would not be concerning in this context.
c) Potassium 4.1 mEq/L: A potassium level of 4.1 mEq/L is within the normal range (3.5-5.0 mEq/L) and would not be concerning in this context.
d) Magnesium 1.0 mEq/L: A magnesium level of 1.0 mEq/L is low (normal range: 1.5-2.5 mEq/L), and low magnesium can cause neuromuscular symptoms such as tremors. This would be a concerning result in the context of the patient's hand and face tremors.
Correct Answer is B
Explanation
a) Hemoglobin (Hgb) 11.3 g/dL: While a hemoglobin level of 11.3 g/dL is slightly below normal, it is not a definitive indicator of malnutrition. It may be related to anemia but not necessarily malnutrition.
b) Pre-albumin 10 mg/dL: Pre-albumin is a protein that reflects short-term nutritional status. A value of 10 mg/dL is below the normal range and suggests malnutrition, as pre-albumin levels decrease in states of inadequate protein intake.
c) Creatinine 1.9 mg/dL: Elevated creatinine levels typically indicate kidney dysfunction, not malnutrition. It is a marker of kidney health, not nutritional status.
d) Hematocrit (Hct) 56%: A hematocrit level of 56% is elevated, which could indicate dehydration, polycythemia, or other conditions, but it is not a direct indicator of malnutrition.
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