Physiological Integrity第 75 / 120 题
The LPN/LVN reviews intake and output for a client with an indwelling catheter. Urine output has been less than 30 mL/hour for several hours. What should the nurse do?
a.Document as a normal finding
b.Increase the client's activity level
c.Report the decreased output to the RN
d.Clamp the catheter for two hours
解析
Urine output persistently below 30 mL/hour may indicate impaired kidney perfusion or obstruction and should be reported. It is not a normal finding to document without action. Timely reporting supports early intervention.
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