HESI Compass Practice Exam

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What home care instruction should a nurse provide to a client with mild preeclampsia regarding urine output?

Fluid intake must be limited to 1 quart each day

Urinary protein must be measured

Sodium intake is restricted

Urine output must be measured, notifying the physician for outputs less than 500 mL in 24 hours

Monitoring urine output is crucial in managing mild preeclampsia, as it can provide insights into the kidneys’ function and the progression of the condition. In preeclampsia, altered kidney function can lead to changes in urine output, so it is essential for the patient to keep track of this measure.

The recommendation to measure urine output and to notify the physician if the output falls below 500 mL in a 24-hour period is grounded in the need to identify potential complications that could arise if kidney function deteriorates. Reduced urine output can signal worsening preeclampsia or the development of renal impairment, which may require further medical intervention.

By keeping a close watch on urine output, the patient and healthcare team can act promptly to address any issues, thereby improving maternal and fetal outcomes. Accurate monitoring and communication of urine output are fundamental aspects of care in managing preeclampsia at home.