You are caring for a patient and he has not made any urine for ...

[fahad]

You are caring for a patient and he has not made any urine for the last 8 hours. What should you do?
 
  What will be an ideal response?

Question 2

You are caring for a patient with an intellectual disability. This patient is normally very happy and cooperative and participates in activities. You have noticed recently he is withdrawn and does not want to participate in any activities, not even his favorite event, time in the model train room. You have seen a few scattered bruises within different stages of healing and have noticed he has a decreased appetite. Simple noises make him flinch. When someone closed a door just now he ran to the corner and started rocking and crying softly. What are the implications?
 
  What will be an ideal response?

[bblaney]

Answer to Question 1

Notify the nurse immediately anytime there is a change in urine output and when a patient does not make urine for more than 4 to 6 hours. A patient should make at least 30 mL of urine an hour. If he does not, it should be reported to the nurse. This could be a sign of kidney failure and needs to be properly addressed.

Answer to Question 2

Persons with intellectual disabilities must be protected from abuse and may be fearful or unable to communicate when it occurs. Signs of abuse include increased anxiety, changes in mood or behavior, frequent injuries, and injuries in different stages of healing. Notify the nurse of your observations and concerns immediately.