A client with cardiomyopathy receiving diuretic therapy has a urine output of 200 mL in 8 hours. Which action by the nurse is correct?
A)Assist the client to ambulate.
B)Document a normal urine output.
C)Notify the healthcare provider.
D)Measure abdominal girth.

Question

Quizplus · Accepted Answer

A)The nurse should notify the healthcare provider, because a urine output of 200 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. The nurse should not assist the client out of bed to ambulate at this time. This is not a normal urine output. Abdominal girth is not an objective measurement of fluid volume; daily weight is more precise.
B)The nurse should notify the healthcare provider, because a urine output of 200 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. The nurse should not assist the client out of bed to ambulate at this time. This is not a normal urine output. Abdominal girth is not an objective measurement of fluid volume; daily weight is more precise.
C)The nurse should notify the healthcare provider, because a urine output of 200 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. The nurse should not assist the client out of bed to ambulate at this time. This is not a normal urine output. Daily weights are an objective measurement of fluid volume; abdominal girth is not.
D)The nurse should notify the healthcare provider, because a urine output of 200 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. The nurse should not assist the client out of bed to ambulate at this time. This is not a normal urine output. Abdominal girth is not an objective measurement of fluid volume; daily weight is more precise.

A Client with Cardiomyopathy Receiving Diuretic Therapy Has a Urine