Which nursing interventions is the most appropriate to perform - ProProfs Discuss
Advertisement

Which nursing interventions is the most appropriate to perform initially?

A client with head trauma develops a urine output of 300 ml/HR. dry skin. and dry mucous membranes. 

Asked by Santepro, Last updated: Apr 24, 2024

+ Answer
Request
Question menu
Vote up Vote down

2 Answers

R. Barnes

R. Barnes

Always excited to learn and talk about new topics

R. Barnes
R. Barnes, Analyst, PhD, Clinton

Answered Feb 26, 2019

A client with head trauma that develops a urine output of 300 ml/hr, dry skin, and dry mucous membranes should have their urine specific gravity evaluated by the nurse. Diabetes insipidus is a result of a urine output of 300 ml/hr.

The nurse cannot anticipate treatment for renal failure because there is no evidence of it. Emollients to prevent skin breakdown are important, but the nurse does not need to worry about performing this immediately. The nurse should not slow the rate of IV fluid when polyuria is present because it would contribute to dehydration.

upvote downvote
Reply 

santepro

santepro

santepro
Santepro

Answered Oct 01, 2017

Evaluate urine specific gravity.

Urine output of 300 ml/hr may indicate diabetes insipidus. which is a failure of the pituitary to produce the anti-diuretic hormone. This may occur with increased intracranial pressure and head trauma; the nurse evaluates for low urine specific gravity. increased serum osmolarityand dehydration.

upvote downvote
Reply 

Advertisement
Advertisement
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader
Image Preview
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader
Image Preview
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader

Email Sent
We have sent an email to your address "" with instructions to reset your password.