The nurse notes in a 2-hour postoperative laminectomy patient that there has been no urinary output. The nurse should:
1. continue to monitor.
2. inform the charge nurse.
3. perform intermittent catheterizations.
4. turn the patient to the right side.
1
The nurse should continue to monitor the patient for urine output. Two hours is too soon to expect a continent patient to void. There is no need to inform the charge nurse and no need for catheterization. Turning a laminectomy patient to the side is contraindicated.
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