Your patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output you recorded for this patient was 10 mL. The tubing of the Foley is patent. What should you do?
A) Irrigate the Foley with 30 mL 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 urine output should continue to be monitored hourly by the nurse.
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