What is the answer to this question!?

[panduhlove]

Mrs. So-and-so has an indwelling cath. Her bag was changed before your shift. Two hours into your shift, you notice there's not much urine in her cath bag. What do you do?

A. Check the connection.

B. Calculate input and output

C. Perform cath care and tell the nurse asap.

[merlee]

Check the tubing and the connection first. What is the point doing cath care just because there is little urine??? Also, everything is relative. 60 cc is NOT a lot of pee! So make sure you know what you are talking about!!

[FORTHELOVEOF!!!!]

While I agree with you that 60cc isn't a lot of urine, 30cc/hr is the minimum acceptable urine output, so it's not an inaccurate comment.

[morte, LPN, LVN]

When I first looked, I thought it would be a slam dunk, check connections....but wouldn't that be part of cath cath care? also checking for kinks would be included as well?

[MadpeysRN]

I would still check because you should still have like 30ml/hr right??

[MyMystudentRN]

im going with A: assess first and do the most quickest first. It was changed before your shift so it may have twisted; then if there are no kinks or what nots then you check I/O. I immediately threw out C because it says ASAP. Thats a keyword ive learned to look out for like: always, never, etc.

[Hygiene Queen]

Rule #1 of trouble-shooting:

Always check the equipment first.

Is everything plugged in, connected, opened, closed, patent, etc...

You would look like an idiot if you run and get your nurse "ASAP" and find out the tubing was kinked or something.

Always look to see if there is something you can do, within your scope, to fix a problem before grabbing the nurse.

[Brannray]

A. Check the connection that would be the best answer IMO.

[Unknown member]

I'd go with A as well. Even though it's only been two hours, the patient still should have voided more than "a little".

It used to be 30ml/hr minimum, now it's moving more towards 50 ml/hr...one professor even says it must be 1 ml/kg body weight/hr. I'm in my 4th semester of nursing school now and on our exams, it's minimum of 50 ml/hr.

[commonsense]

I'd go with A as well. Even though it's only been two hours, the patient still should have voided more than "a little".

It used to be 30ml/hr minimum, now it's moving more towards 50 ml/hr...one professor even says it must be 1 ml/kg body weight/hr. I'm in my 4th semester of nursing school now and on our exams, it's minimum of 50 ml/hr.

I was unaware of the trend moving towards 50 mL/hr. Do you know if this will be the figure used for NCLEX, or will it remain at 30 mL/hr?

[SHGR, MSN, RN, CNS]

Plus, the wording of C is silly. Tell the nurse ASAP, but do cath care first.

?

[guest042302019, BSN, RN]

I don't know people keep commenting on 30mL/hour. There is no objective, measurable information, or known amount. All it says is "not much." Not much to you or me or other people could be 50mL or 500mL. There is a test strategy that is something like work with what you've got. If you don't and read into the question and start assumptions, you are going to get questions wrong. I haven't heard about 50mL/hour either. We are taught 30mL/hour minimum.

[Unknown member]

Commonsense, I'd stick with 30 ml/hr for NCLEX. I'm not sure if our test questions are made up by the professor or not. I just now since first semester, on ANY test we've had, 30 ml/hr was never enough and sometimes the answer when asked "which of these assessment findings warrant immediate attention."

Florida, I agree there is no # data and "not much" can be subject, however, the purpose of explaining minimal output in this question may help the OP understand the answer. The OP said that the patient didn't drink a lot so they shouldn't pee a lot in 2 hours which is incorrect. I'm sure as you know, patients should still be voiding even without oral intake.