Which action should the nurse take, based on these amounts?
A physician orders hourly urine output measurement for a postoperative client with an indwelling catheter. The nurse records the following amounts of output for 2 consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml.
Continue to monitor and record hourly urine output.
RATIONALE: Normal urine output for an adult with an indwelling catheter is at least 30 ml/hour. Therefore, this clients output is normal. Beyond continued evaluation, no nursing action is warranted.
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Basic care and comfort
COGNITIVE LEVEL: Analysis
REFERENCE: Craven, R.F., and Hirnle, C.J. Fundamentals of Nursing: Human Health and Function, 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2007, p.1079.