A nurse caring for a child receiving chemotherapy notes that the child's urine specific gravity is 1.010. Which action by the nurse is the most appropriate?
A.
Document the findings in the child's chart.
B.
Increase the rate of the IV fluids per protocol.
C.
Notify the provider about the laboratory results.
D.
Prepare to administer an alkalizing agent.
ANS: A
Children on chemotherapy should remain well hydrated to ensure the medications and any toxic by-products are flushed out. The urine specific gravity should remain at 1.012 or below. The nurse needs to take no further action after documenting the findings. The IV rate should be increased if the specific gravity is above that level. The provider does not need to be notified specifically about this normal finding. An alkalizing agent is not needed.
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