The patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output for the patient was 10 mL. The tubing of the Foley is patent. The nurse should:
A) Irrigate the Foley with 30 mL of normal saline.
B) Notify the physician, and continue to closely monitor the hourly urine output.
C) Decrease the IV fluid rate.
D) Have the patient sit in high-Fowler's position.
Ans: B
Feedback: If the patient has an indwelling urinary catheter, hourly outputs are monitored and rates of less than 30 mL/h are reported. The nurse should continue to monitor urine output hourly.
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