California Certified Nursing Assistant (CNA) Practice Exam

How should a nurse assistant document output for an incontinent client?

1. Make a note of the total daily output

2. Record output each time the bed is wet

3. Estimate the output based on the last void

4. Document only visible output

The correct answer is: Record output each time the bed is wet

Documenting output for an incontinent client requires precise and timely measurements to ensure accurate monitoring of the client's health status. Recording output each time the bed is wet is essential because it provides a real-time account of the client’s urinary output, which can be critical for assessing hydration levels, kidney function, and potential urinary tract issues. By documenting each incident of wetness, the nurse assistant can create a detailed log that reflects the frequency and volume of incontinence, thus offering valuable insights for care planning and potential interventions. This method prioritizes accuracy over estimation or generalization, enabling healthcare providers to make informed decisions regarding the client’s care. In contrast, total daily output, estimating output, or documenting only visible output may not capture the full picture of the client’s condition, leading to incomplete data that could affect treatment and support.