The nursing assistant is caring for a client with spina bifida and observes that the urine has a strong odor and is cloudy. What is the first intervention the nursing assistant should take?

Question

Quizplus · Accepted Answer

The nursing assistant observes a change in the client's urine and should first obtain the vital signs and then report the observations and vital signs immediately to the RN. The nurse will further assess the client and obtain an order for a urine specimen, which may be delegated to the nursing assistant. Providing more fluids first would be appropriate if the urine was dark and concentrated, which would indicate that the client could be becoming dehydrated.

The Nursing Assistant Is Caring for a Client with Spina