A nurse is caring for a client who recently underwent abdominal surgery and has been receiving fluids through a central line. Over the past three hours, the client’s urine output has decreased to 20 mL/hour. What is the best action the nurse should take?
Increase the rate of fluid delivery to improve the urine output.
Notify the healthcare provider about the decreased urine output.
Administer a diuretic to increase urine production.
Monitor the client’s output for a few more hours for additional data.
Urine output consistently below 30 mL/hour in an adult is often a sign of diminished kidney function, dehydration, or compromised fluid balance, all of which require prompt evaluation and targeted interventions. Notifying the healthcare provider is the safest and most appropriate step because it allows for further diagnostic evaluation and treatment adjustments, such as modifying fluid administration or addressing potential renal impairment. Increasing the fluid administration rate without an order can lead to complications such as fluid overload. Waiting to monitor further can delay treatment and exacerbate the issue. Administering a diuretic without understanding the underlying cause could harm the patient, as decreased urine output might indicate hypovolemia rather than fluid overload.
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