A client with cardiomyopathy receiving diuretic therapy has a urine output of 300 mL in 8 hours.What should the nurse do to assist this client?
A) Assist the client to ambulate.
B) This is a normal urine output and the client does not need anything.
C) Notify the healthcare provider, as the client could be dehydrated.
D) Measure abdominal girth as a true assessment of the client's fluid status.

Question

Quizplus · Accepted Answer

A) The nurse should notify the healthcare provider, because a urine output of 300 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. This is not a normal urine output. The nurse should not assist the client out of bed to ambulate at this time. Daily weights are an objective measurement of fluid volume and not abdominal girth.
B) The nurse should notify the healthcare provider, because a urine output of 300 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. This is not a normal urine output. The nurse should not assist the client out of bed to ambulate at this time. Daily weights are an objective measurement of fluid volume and not abdominal girth.
C) The nurse should notify the healthcare provider, because a urine output of 300 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. This is not a normal urine output. The nurse should not assist the client out of bed to ambulate at this time. Daily weights are an objective measurement of fluid volume and not abdominal girth.
D) The nurse should notify the healthcare provider, because a urine output of 300 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. This is not a normal urine output. The nurse should not assist the client out of bed to ambulate at this time. Daily weights are an objective measurement of fluid volume and not abdominal girth.

A Client with Cardiomyopathy Receiving Diuretic Therapy Has a Urine