Question

You receive a report from the NAP that a patient with no history of urinary elimination problems has had 150 mL of oral liquids in 6 hours and has voided 100 mL of clear, dark amber urine. His vital signs at the start of the shift were as follows: blood pressure, 108/76 mm Hg; pulse, 72 beats/min; respirations, 18 breaths/min; temperature, 98.6 F. The most recent check revealed blood pressure, 112/80 mm Hg; pulse, 88 beats/min; respirations, 22 breaths/min; and temperature, 100.4 F.

a. What conclusion might you draw about what has caused these symptoms?

b. What actions should you take?

Answer 1

a

Dark urine due to dehydration is usually amber or honey-coloured..It may also be an indicator that excess,unusual or potentially dangerous waste products are circulating in the body.

b

• Encourage fluid intake.
• Assess voiding patterns and hygienic practices and provide instructions about recommended voiding patterns and hygienic practices.
• Assessment of the patients psychosocial status ,level of anxiety ,percieved threats to body image,available body systems and sociocultural patterns.