At the end of a 12-hour shift, the practical nurse (PN) observes the urine in a client's drainage bag as seen in the picture. Which action should the PN take next?
Explanation & Rationale
A. Obtain a fingerstick capillary glucose level: Glucose testing is not related to the color of the urine in the image, which appears cloudy and dark—signs suggestive of infection, not hyperglycemia. B. Note the most recent white blood cell count: Cloudy urine, as shown in the picture, indicates a possible urinary tract infection (UTI). Reviewing the WBC count helps the nurse determine whether there is systemic infection or inflammation. C. Offer to administer a prescribed PRN analgesic: Pain management is not the priority when the primary concern is infection; further assessment is required first. D. Determine if the client's bladder feels distended: Bladder distention would cause low urine output, not discolored or cloudy urine, so palpation is not the next appropriate step