Question

which observation by the nurse caring for clients in a hospital medical - surgical unit would be immediately reported to the physician? select all that apply. answer options: 1. pink - colored urine voided by a client admitted for orchitis 2. mucous shreds noted in the urine of a client who has an ileal conduit 3. new confused mental state and pulse rate of 106 beats per minute in a 72 - year - old client 4. no urinary output for 24 hours in a client who has hemodialysis 3 times weekly 5. a volume of 105 ml of urine over 4 hours in the collection bag of a 1 - day postoperative client

Explanation:

1. A pink - colored urine in a client admitted for urolithiasis could indicate bleeding and should be reported.
2. Mucous shreds in the urine of a client with a urologic condition may signal an infection or other issues and need reporting.
3. A new - onset confused mental state and a high pulse rate (108 beats per minute) in a 72 - year - old client can be signs of serious underlying problems like sepsis or cardiac issues and must be reported.
4. No urinary output for 24 hours in a client on hemodialysis 3 times weekly is a sign of possible kidney failure or obstruction and requires immediate reporting.
5. A low urine output (105 ml over 4 hours) in a 1 - day postoperative client may indicate hypovolemia or other problems and should be reported.

Answer:

1. Pink - colored urine voided by a client admitted for urolithiasis
2. Mucous shreds noted in the urine of a client who has a urologic condition
3. New confused mental state and pulse rate of 108 beats per minute in a 72 - year - old client
4. No urinary output for 24 hours in a client who has hemodialysis 3 times weekly
5. A volume of 105 ml of urine over 4 hours in the collection bag of a 1 - day postoperative client