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.

[FORTHELOVEOF!!!!]

I'm a student right now as well and we still use 30 cc/ml, im sure it's different between programs and in the real world of course.

[FORTHELOVEOF!!!!]

The OP never said anything about 30cc/hr, another poster made the comment that there should've been 60 cc in the bag after 2 hours........... That is why we are talking about a certain number.

[classicdame, MSN, EdD]

the last choice said to contac the nurse. Does this mean you are not a nurse?

[Daisy_08, BSN, RN]

A -

Not B -your not going to waste time calculating when you have not ruled out connection issues.

Not C - because if you were my student and had not checked the connection before coming to me, I wouldn't be that impressed.

and two hours is not that long, for "not a lot of urine" I mean what is that?

Poor question

[Wild Irish LPN, LPN]

on the NCLEX, the answer would definitely be A. Check the connection and also the most logical answer esp since the cath bag was just changed

yep, answer A is it, check for kinks and connection....

[PetsToPeople]

But most people I've talked to say that it should be B, because two hours isn't that great of a time to be producing massive amounts of pee. If they never drank anything, it could make sense that they haven't produced much fluid. Even a doctor told me that the first thing he would want to know is how much they drank.

They should be producing an absolute minimum of 30mls/hr of urine, 50mls/hr is best. If they are not then their kidneys are not being perfused (many possibilities why) and something is wrong.

You always trouble shoot first, such as making sure the tubing in not kinked or has become disconnected, before you advance to the next step of telling the nurse. And you can't calculate the I&O if their urine output is possibly not accurate.

[Oppon262]

remember always "assess" first before doing an intervention. You should check the connection.

[2mint]

"A" (Check the connection.) is a good answer (best answer if it's an RN question), but given that this is a CNA question, the best answer is:

C. Perform cath care and tell the nurse asap.

Reasons:

1) Answer 'C' subsumes answer 'A'--thus 'A' is a 'good' answer, but 'C' is the 'best' answer.

2) Recall your 'Closing Procedure Actions' (specifically, 'Record and Report').

3) Other students supposedly convinced the instructor to give credit to C.

4) Spell out the 'A' in CNA; this "A" entails some type of 'reporting' to an implied 'supervisor.'

5) Basic test taking skills: Do not read what is not there.

**Please do not mistake 'asap' as belonging in the same category as "never" "always" etc.

[MyMystudentRN]

[quote=2mint;6391512

**Please do not mistake 'asap' as belonging in the same category as "never" "always" etc.

and why is this? i may be missing something

[fuzzywuzzy, CNA]

I would say A. If I went up to a nurse and said there wasn't much pee in someone's bag, the first thing she would do is ask me if I checked the connection. How stupid would I look if I said no and then it turned out that the tubing popped off and the person's brief was all wet? Hello, common sense.

And I don't see what performing catheter care has to do with the situation at hand. It should be done as a routine task, but it's not going to solve the problem.

It's like if your car doesn't start, you check to make sure it's in park, the battery is good, etc. before you call a mechanic. You don't get out the hose and wash it!

[guest042302019, BSN, RN]

I can't believe this question has so many responses! So straightforward.

[2mint]

The two words have to do with "absolutes" and the other has to do with "a sense of urgency."