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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.

This question is part of Basic Physical Care (Part 2)
Asked by Suarezenriquec, Last updated: Mar 30, 2020

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suarezenriquec

Suarezenriquec

Answered Oct 20, 2018

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.
 

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