The Nurse Is Caring for a Client Who Is 1

The nurse is caring for a client who is 1 day postoperative extensive abdominal surgery for ovarian cancer.  The client is receiving IV Ringer's lactate at 100 mL/hr and continual epidural morphine for pain control.  The Foley catheter urine output has decreased to <20 mL/hr over the past 2 hours.  The postoperative hematocrit is 36% (0.36) , and the hemoglobin is 12 g/dL (120 g/L) .  Which action should the nurse carry out first?

A) Assess vital signs
B) Increase the IV rate to 125 mL/hr
C) Notify the health care provider
D) Perform a bladder scan

Correct Answer:

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