A patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output recorded for this patient was 10 mL. The tubing of the Foley is patent. What should the nurse do?
A) Irrigate the Foley with 30 mL normal saline.
B) Notify the physician and continue to monitor the hourly urine output closely.
C) Decrease the IV fluid rate and massage the patient's abdomen.
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/hr are reported. The urine output should continue to be monitored hourly by the nurse. Irrigation would not be warranted.
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