A nurse notes that no urinary output has occurred in a patient who underwent a laminectomy 2 hours earlier. What action should the nurse implement?
a. Continue to monitor.
b. Inform the charge nurse.
c. Perform intermittent catheterizations.
d. Turn the patient to the right side.
A
The nurse should continue to monitor the patient for urine output. Two hours is too soon to ex-pect a continent patient to void. Informing the charge nurse and catheterization are not necessary. Turning this patient to the side is contraindicated.
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