d) Administer the PT's routine diuretic dose early. - answer✔Answer: C
The amount of 50 mL in 2 hours is not normal output. The kidneys typically produce 60 mL of
urine per hour. Therefore, the nurse should notify the provider when the patient shows
diminished urine output (oliguria). Patients who undergo abdominal surgery commonly require
increased infusions of IV fluid during the immediate postoperative period. The nurse cannot
provide increased IV fluids without a provider's order. The nurse should not administer any
medications before the scheduled time without a prescription. The provider may hold the
patient's scheduled dose of diuretic if he determines that the patient is experiencing deficient
fluid volume.
The nurse measures the urine output of a PT who requires bedpan to void. Which action should
the nurse take first. Put gloves on and:
a) Have the PT void directly onto the bedpan
b) Pour the urine into a graduated container
c) Read the volume with the container on a flat surface at eye level
d) Observe the color and clarity of the urine in the bedpan - answer✔Answer: A
First, the nurse should put on gloves and have the patient void directly into the bedpan. Next, she
should pour the urine into a graduated container, place the measuring device on a flat surface,
and read the amount at eye level. She should observe the urine for color, clarity, and odor. Then,
if no specimen is required, she should discard the urine in the toilet and clean the container and
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