Question

After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has returned from the post-anesthesia care has a dark, concentrated urinary output of 54 ml for the last 2 hours. What priority nursing action should be implemented

Answer 1

The priority nursing action that should be implemented after checking the urinary drainage system for kinks in the tubing with a dark, concentrated urinary output of 54 ml for the last 2 hours is to report the findings to the surgeon.

When a patient is critically unwell, fluid resuscitation is sometimes guided by the amount of urine produced as a measure of acute renal impairment. In critically ill patients, neurohormonal variables and functional alterations may affect diuresis and natriuresis even though a decrease in urine production may be linked to a drop in glomerular filtration rate due to a reduction in renal blood flow or renal perfusion pressure. After examining the urinary drainage system for tube kinks with 54 ml of black, concentrated urine produced over the previous two hours, the main nursing step is to inform the surgeon of the results.

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