Difficulty: Medium
Average Score: 66%
Simulated
Upon assessment of the urine in a client's indwelling urinary catheter drain bag,the nurse notes the urine to be dark yellow. Which next step should the nurse implement?
Correct answer
A
Rationale
The correct answer is A: Encourage fluid intake. Dark yellow urine indicates concentrated urine, which may be a sign of dehydration. Encouraging fluid intake can help dilute the urine and prevent further dehydration. Dehydration can lead to various health issues, so increasing fluid intake is essential.
Choice B (Reduce fluid intake) would worsen dehydration. Choice C (Alert the healthcare provider of possible infection) is not warranted based solely on the color of the urine. Choice D (No action is required) is incorrect because addressing dehydration is crucial.
Choice B (Reduce fluid intake) would worsen dehydration. Choice C (Alert the healthcare provider of possible infection) is not warranted based solely on the color of the urine. Choice D (No action is required) is incorrect because addressing dehydration is crucial.