A medical-surgical nurse completes the admission assessment on a client diagnosed with a urinary tract infection. The client's admitting weight is 165 lb (74.8 kg). The vital signs are temperature 96°F (35.6°C), pulse 110 beats per minute, respirations 20 per minute, and blood pressure 88/56 mm Hg. The client received 3 L of normal saline in the emergency department. The total urine output for the past 2 hours was 20 mL via a urinary drainage system. Which intervention would the nurse recommend to the primary health care provider? Transfer the client to a critical care unit. Discontinue the urinary catheter immediately. Administer another 1 L bolus of sodium chloride. Begin a dopamine hydrochloride drip for renal perfusion.

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Chapter7: Null And Void
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A medical-surgical nurse completes the admission assessment on a client diagnosed with a urinary tract infection. The client's admitting weight is 165 lb (74.8 kg). The vital signs are temperature 96°F (35.6°C), pulse 110 beats per minute, respirations 20 per minute, and blood pressure 88/56 mm Hg. The client received 3 L of normal saline in the emergency department. The total urine output for the past 2 hours was 20 mL via a urinary drainage system. Which intervention would the nurse recommend to the primary health care provider?

  • Transfer the client to a critical care unit.
  • Discontinue the urinary catheter immediately.
  • Administer another 1 L bolus of sodium chloride.
  • Begin a dopamine hydrochloride drip for renal perfusion.
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