The nurse is monitoring the intake and output for a preterm infant. Which action by the nurse indicates correct assessment technique when monitoring urine output?
A) Document "unable to obtain" on the graphic sheet.
B) Apply an external condom catheter.
C) Insert an indwelling urinary catheter.
D) Weigh diapers using the estimate that 1 ml = 1 gram of weight.
Answer: D
Weigh change is one of the most sensitive indicators of fluid balance. Weighing diapers is the intervention used to accurately measure the output of an infant. The estimate is that 1 gm of body weight is equal to 1 ml of fluid. The nurse should not insert an indwelling urinary catheter or apply an external condom catheter on the infant. Documenting "unable to obtain" on the graphic sheet does not support the need to accurately measure the infant's output.
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