Question

What action should the nurse take regarding a patient's plan of care if the patient appears to have met the short-term goal of urinating within 1 hour after surgery?

a. Consult the surgeon to see if the clinical pathway is being followed.
b. Discontinue the plan of care, because the patient has met the established goal.
c. Monitor patient urine output to evaluate the need for the current plan of care.
d. Notify the patient that the goal has been attained and no further intervention is needed.

Answer 1

The nurse should monitor patient urine output to evaluate the need for the current plan of care.

Step-by-step explanation:

In this situation, the nurse should monitor patient urine output to evaluate the need for the current plan of care. Just because the patient has met the short-term goal of urinating within 1 hour after surgery, it doesn't necessarily mean that the plan of care can be discontinued. By monitoring the patient's urine output, the nurse can assess if the current plan of care is still necessary or if adjustments need to be made.