Home › CNA Practice Tests › Basic Nursing Skills Questions › Question 82
A resident on strict intake and output receives a cup of tea from a visitor, and no one measured it. What should the assistant do?
- A.Ignore it because visitors' drinks never count
- B.Ask about the amount, estimate only as directed, and report the unmeasured intake to the nurse
- C.Chart an exact amount even though it was not seen
- D.Tell the visitor that visits are no longer allowed
Correct answer
B. Ask about the amount, estimate only as directed, and report the unmeasured intake to the nurse
Why
All fluids count for a resident on intake and output monitoring, including drinks from visitors. Unmeasured intake should be reported honestly so the nurse knows the record is incomplete.
Content outline: Basic Nursing Skills - Measuring Height, Weight, and Intake/Output · From the Basic Nursing Skills practice bank (BN-082).