what's misleading about this?

She looks like a futa, but she is not.

Whats that thing she's holding? i see it sometimes and idk what it is.

One of those things you urinate into when you can't get out of a hospital bed, except that one's glass instead of plastic. I can't remember exactly what they're called.

Added urinal bottle tag.

Figures Danbooru would have such a simple name for it. :P