Asked by Philip Mcguire on Mar 10, 2024
Verified
The patient has a goal of maintaining urinary output of at least 30 mL/hour as part of the nursing care plan.However the patient's urinary output for the shift was only 20 mL/hour.What is the appropriate action of the nurse?
A) Contact the physician to obtain an order for diuretics to increase urinary output.
B) Reassess the patient to determine why the urinary output was less than 30 mL/hour.
C) Change the goal to: patient will maintain urinary output of at least 20 mL/hour.
D) Inform the patient that the urinary output goal for the shift was not met.
Urinary Output
The amount of urine produced and excreted by the kidneys over a specific period, indicating kidney function and fluid balance.
Diuretics
Medications designed to increase the amount of water and salt expelled from the body as urine, commonly used to treat high blood pressure and heart failure.
Nursing Care Plan
A customized document outlining the needs of a patient and the specific nursing interventions to meet those needs, facilitating coordinated and effective care.
- Understand the process of evaluating patient outcomes and taking appropriate actions when goals are not met.
Verified Answer
YM
Yessi MoncadaMar 10, 2024
Final Answer :
B
Explanation :
When there is failure to achieve a goal,no matter what the reason,the entire nursing process sequence should be repeated.The nurse should review the nursing diagnosis to discover changes that are needed for the plan of care.A complete reassessment of all patient factors relating to the nursing diagnosis and etiology is necessary when modifying a plan.An order for diuretics should not be obtained before a careful assessment has been completed.Informing the patient that the goal was not met will not be beneficial.
Learning Objectives
- Understand the process of evaluating patient outcomes and taking appropriate actions when goals are not met.