If intake or output shows a discrepancy, what should the CNA do?

If intake or output shows a discrepancy, what should the CNA do?

• A. Report discrepancies to the nurse.
• B. Ignore minor discrepancies.
• C. Adjust intake amounts without confirmation.
• D. Document as standard even if wrong.

Answer: (A)

When intake and output don’t line up, the priority is to ensure patient safety and accurate fluid balance by reporting the discrepancy to the nurse. The CNA’s role is to observe, measure, and document—but not to interpret or adjust orders. By informing the nurse, measurements can be rechecked, sources of intake and output can be reviewed (oral fluids, IV fluids, urine, stool, emesis), and any equipment issues or missed measurements can be identified. The nurse can verify the numbers, correct the chart if needed, and decide if any change in care or orders is required. Ignoring the discrepancy or making adjustments without confirmation could lead to dehydration, edema, electrolyte problems, or improper treatment. Reporting promptly is the safe, appropriate action.

When intake and output don’t line up, the priority is to ensure patient safety and accurate fluid balance by reporting the discrepancy to the nurse. The CNA’s role is to observe, measure, and document—but not to interpret or adjust orders. By informing the nurse, measurements can be rechecked, sources of intake and output can be reviewed (oral fluids, IV fluids, urine, stool, emesis), and any equipment issues or missed measurements can be identified. The nurse can verify the numbers, correct the chart if needed, and decide if any change in care or orders is required. Ignoring the discrepancy or making adjustments without confirmation could lead to dehydration, edema, electrolyte problems, or improper treatment. Reporting promptly is the safe, appropriate action.